Venue : Bal Gandharva Rang Mandir, Pune
INVITATION
REGISTRATION FORM
ABSTRACT PRESENTATION
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IRACON 2008 SCIENTIFIC COMMITTEE
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Fields marked with * are compulsory.
REGISTRATION FORM
IRACON 2008
 26th - 29th November 2008
(PLEASE USE CAPITAL LETTERS)
Prof.             Dr.            Mr.             Mrs.             Ms.
Family Name : *
First Name : *
Qualification :
Occupation :
Address : Street / House No.
Line 2 :
Village /Taluka : Town/City :
State : Country :
STD Code : Telephone :
Pin : Mobile No. :
Email : *
Cheque / DD Number : dated DD /MM /YYYY
Drawn on (Bank)
 
For all outstation cheques, add Rs 50/-
Demand Draft/Cheque should be made in favour of IRACON 2008 Payable at PUNE. & to be sent to
CONFERENCE SECRETARIAT : IRACON 2008 Center for Rheumatic Diseases-Hermes Doctor House, HERMES ELEGANCE, 1998 CONVENT STREET, CAMP, PUNE 411001 INDIA
 
Further Information (Please tick desired option)
Are you : IRA Member    Non IRA Member   
Postgraduate/Specialist within 5 years of first post graduate - degree    
Accompanying Person     Others
1. Do you need accommodation? YES        NO

If Yes Single        Double
If Yes, our Travel agent will get back to you.
We have negotiated special rates for this meeting with popular hotels and blocked some rooms. What is your preference?
Hotel Type Approximate rates (per night) Hotel Names
5 Star Rs.12,0000/- to Rs 15,000/- Taj Blue Diamond, Best Western The Pride hotel, Le Meridien, Hotel Sun N Sand.
4 Star Rs.7,000/- to Rs.10,000/- Hotel Central park, Hotel Sagar plaza, Hotel Aurora Towers, Hotel Kohinoor Executive
3 Star Rs.4,000/- to Rs.7,000/- Hotel Woodland,Hotel Ashirwad, Hotel Regency, Ashish Plaza
1 - 3 Star Rs.1,500/- to Rs.2,500/- Hotel Ketan, Hotel Kapila, Hotel /span Executive, Hotel Lokesh
Modest Rs.700/- to Rs.1,500/- YMCA, Hotel Srimaan, Hotel Mayur
Government/Guest House Upto Rs. 750/-
2. Do you need travel booking? YES        NO
3. Would you be accompanied? YES        NO
If yes, (number) persons.
Any other information :
4. Will you attend the BJD India Convention? YES        NO
If Yes, you are eligible for free registration for the BJD India Convention. Please Click Here to complete the BJD India Convention Registration form.
5. Are you applying for Travel Bursary? YES        NO
If Yes, visit (Click Here) and send your CV and other details to the Congress secretariat by 30 September 08.
6. Village Bhigwan (Pune District), the site of maiden COPCORD India is 100 km away from Pune. The Bhigwan COPCORD is an ongoing program since 1996. A half-day scientific session followed by evening of music and traditional dinner has been organised in Bhigwan on 28th Nov 08. Transport will be provided for all delegates. There is no additional fee for the Bhgiwan event but,
1. Will you attend the IRACON Bhigwan Session? YES        NO
If yes, accompanied by persons.
2. Your meal preference : VEGETARIAN        NON-VEGETARIAN
Payment Details
Sr. No Particulars Amount
1. Delegate Fees Rs.
2.
Workshop Fees (Please specify by tick mark)
Clinical Drug Trials : RA & OA (A TO Z)
Arthroscopy (Demonstration & Discussion)
Musculoskeletal Imaging (Digital, USG, CT, MRI, 3-Phase)
Ayurveda, Homeopathy & Acupuncture, for the Rheumatologist
Clinical Research
(Including Statistics, Trials)
Genes & Cytokines
CRF & DATABASE : Creation & Use
Physiotherapy & Physical Therapy (Demonstration & Practical)
Rs.
3. Accompanying Person(s) (No. ) Rs.
4. Any Other (Give particulars)
 Rs.
 
NOTE :
(1) All attendees (including accompanying person) to the IRACON 2008 must register. Children will not be allowed to attend the scientific meetings but may attend social events (coupons may be purchased for banquet).
(2) This registration is provisional till your draft / cheque / payment is received at conference secretariat (see above address). Confirmation will be sent to you.
(3) Delegates registering for IRACON 2008 will be permitted to attend BJD Convention without additional fees. All attendees of desirous for attending the BJD India Convention must register their names by completing the BJD India Convention registration form available at www.bjdindia.org website.