Registration form Applied Radiological Physics and Recent Advances Date: 27-29th Nov 2015 Venue: Convention Hall, Jamia Hamdard, Hamdard Nagar, New Delhi - 62
Delhi State Chapter of IRIA
Organised by :
In collaboration with
Department of Radiodiagnosis, Jamia Hamdard Name: Institution: Residential address:
IRIA Membership Number: Mobile: Email: Amount: Cash/cheque: If cheque, then number and bank name: Registration charges: Upto 18th Nov 2015 19th Nov onwards and spot IRIA Member Residents INR 1500 INR 2500 Consultants and Non IRIA Members INR 3000 INR 4500 Radiography students INR 1000 INR 2000 The cheque/draft should be drawn in favour of ‘Delhi state chapter of IRIA’. For proof of IRIA membership please ensure your name is there on the IRIA website in members directory (search member area). The venue is few Km from nearest metro station Saket. Travel arrangements will be provided from Saket metro station to venue and back in morning and evening. We have availability of 10 furnished rooms within the Jamia Hamdard campus for stay. These will be provided free of cost on double/triple sharing basis to female residents only coming from out of delhi on a first come first serve basis. Please mention in your form if you require. Please mail your registration form along with cheque to – Dr. Atin Kumar Organising Secretary Room No. 52, Department of Radiology, JPNA Trauma Centre, AIIMS, New Delhi – 110029 For any queries please contact Ph: 011-26731101 (Between 9am to 4pm Mon-Fri, contact person Mr. Nitin Sharma) or email at
[email protected]
