Registration


	Registration form

NCBA

Registration Form

13^th Annual Meeting of the Society of Biomaterials and Artificial Organs, India

Theme : Innovative materials and products for health care

Organised by

School of BioScience & Engineering

Jadavpur University

Kolkata 700 032

Dates : 20^th & 21^st Dec 2002

Name                           :

Designation                 :

Organisation               :

Address                        :

Whether member of SBOAI   : Yes / No

Nationality                   :

Phone/Fax :                 :

E-mail                          :

Title of the paper        :

Accommodation          : Yes / No

Required

If Yes Tick the Range : 1.Rs. 300/-

                                      : 2.Rs. 500/-

                                      : 3.Rs. 1000/-

Details of DD                    No:

                                  Amount :

                                       Date :

                                                                                                                                         _________
                                                                                                                                         Signature

Registration fees         : Delegates                :Rs. 1200/-

                                        Members of SBOI :Rs. 1000/-

                                     * Students/Scholars : Rs. 250.00 / Rs. 500.00

                                        Foreign Delegates : USD 100.00

Demand Draft should be drawn in favour of NCBA 2002 , payable at Kolkata branch and send along with the filled registration form.

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