ONLINE

REGISTRATION  FORM

14TH WORLD CONGRESS OF
THE INTERNATIONAL SOCIETY FOR LASER SURGERY AND MEDICINE
27TH -30TH AUGUST, 2001  CHENNAI (MADRAS), INDIA

For printable format of the Registration Form click here  

Prefix *

Prof Dr.Mr.Ms.
Name *

Specialization
Institution *
Mailing Address *

City *
Country
Pin/Zip Code
Tel. Home
Tel. Office
Fax 
E-mail *

To complete your registration process you need to pay. Registration fees can be made online or by DD

Fees includes 3 days of Congress Lunches, Tea, Opening Ceremony, Welcome Cocktail, Indian Cultural Nite and entry to exhibition area (bankers charges will be additional).

* A certificate of Training from Institution Head or Department Head is required.

DEMAND DRAFT  In favour of "Dr. B. KRISHNA RAU ISLSM 2001" Chennai.
BANK TRANSFER  Swift Code : HSBC IN BB - A/c No. 041-152786-006, A/c NAME : DR. B. KRISHNA RAU ISLSM 2001.
CANCELLATION  On or before 1st June, 2001 will receive the registration fees after deducting handling charges of US$ 50. No refund thereafter.
E-Mail  [email protected],[email protected]