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Fourth National Congress of  Indian Stroke Association
(Endorsed by World Stroke Organization)
March 14-15, 2009, Hotel Taj Krishna,  Hyderabad, India
Email :  4thncisa2009@gmail.com
Website :
www.ncisa2009hyderabad.com
 

Registration

The registration fees upto 31st December 2008 is Rs 1000 for consultants and Rs 500 for residents (Certificate from HOD required), after which it will be Rs 2000 for consultants and Rs 1000 for residents. The registration fees of accompanying persons will be same as that of residents, irrespective of their age.

For registration, please send your name address and demand draft payable to 4th National Congress of Indian Stroke Association, payable at Hyderabad and mail it to the  Congress Secretariat at the below  given address.  Kindly also indicate if you will attend the “Clinical Research Workshop” since it will be open only to the first 50 registrants.  We suggest early registration to avoid disappointment. 

Name*
Mailing Address
Country
Pin
Phone (Residence) - - (country code-city code-phone number)
Phone (Office) - - (country code-city code-phone number)
Mobile Number
E-Mail*
Category
Remarks Will you attend the “Clinical Research Workshop” on 13th March, 2.00 PM to 7.00 PM at the Learning Centre, Nizam’s Institute of Medical Sciences, Panjagutta, Hyderabad

Payment Details DD No. Date of DD Amount Drawn on
* Mandatory Fields



Please make a demand draft in favor of “Fourth National Congress of Indian Stroke Association” payable at Hyderabad.  Please note that it is essential to have a functional e-mail ID and mobile number as all communication regarding your registration and any updates will be done by e-mail and SMS. Send the filled in Registration Form to:

                   
Prof  Subhash Kaul  - Organizing Secretary,
4th National Congress of Indian Stroke Association
Department of Neurology
Nizam’s Institute of Medical Sciences,
Panjagutta, Hyderabad (A P)  500082, INDIA

Email :  4thncisa2009@gmail.com
Website : www.ncisa2009hyderabad.com

                                                      CLICK HERE TO DOWNLOAD REGISTRATION FORM