13th-15th Dec'13
Hotel Palash Residency
TT Nagar. Bhopal.

With view to make this program meaningful congregation of intellectual professionals we have planned to organize events like Symposia, Scientific Session, Pre-conference Hands-on Courses & other activities.

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REGISTERATION FOR 33RD IDA M.P. STATE
DENTAL CONFERENCE, BHOPAL.
13th, 14th, 15th Dec. 2013


Please type/Fill in Block Letter

 

Name : Dr/Mr./Ms.

Address:

City

Pincode

Cell No.

Phone No

Fax

Email

Food Preference

I.D.A. Membership Status :

I.D.A. Membership No.

Accompanying Persons :

(1)  Dr./Mr./Mrs./Ms.
(2)  Dr./Mr./Mrs./Ms.

Photo Upload

   
   
 

S.No.
Registration Fee Upto 31st July Upto 31st Oct On the Spot
1.
# Delegate
1500 1800 2000
2.
Reception Committee Member
3000 3500 4000
3.
*Accom. Person  
3000 3500 4000
4.
**Student Delegate  
2000 2500 3000
5.
Banquet    
1500 1500 2000
6.
Non-IDA Member    
5000 6000 7000
7.
*Spouse  
3000 3500 4000
8.
In House (includes Registration)
     

Twin Sharing

6500 7500 No in House

Triple Sharing

6000 7000 Registration after 31st Oct.2013

Note:

* Spouse & accompanying person will not get gift, certificate & credit points.
** Include only Hi-Tea, Lunches, entry to scientific session. Trade fair and certificate 1st Dinner, Banquet and RC gift not included.
# Includes entry to scientific session and trade fair.

Payment Mode : Make cheque/DD in favour of “33rd IDA MP State Dental Conference” payable at Bhopal.
Please add Rs.50/- for per outstation cheque.
Please mail your Cheque/D.D to
Dr Sanjeev Bajpai (Organizing Secretary)
E-7/168, MIG, 1st Floor,
Arera Colony, Bhopal (M.P.) - 462016
Ph.: 0755-2424300, 9425013088

Bank Account Details

Union Bank Of India
Khazana Parisar. Jawahar Chawk
T.T Nagar - Bhopal
Acount No: 498701010037247
IFSC Code no. UNIN0549878
Shastri Nagar Branch.


First Call Letter sent to all Members.
Please hurry up and send in your Registrations and participation fees.

With view to make this program meaningful congregation of intellectual professionals we have planned to organize events like

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