Upload File

conference registration form (please fill in block … registration form1.pdf · 2.cancellation...

  • Home
  • Documents
  • CONFERENCE REGISTRATION FORM (Please fill in BLOCK … registration form1.pdf · 2.Cancellation after 1.12.19 till 31.12.19, 50% of registration charges will be deducted. 3.No Cancellation
1
CONFERENCE REGISTRATION FORM Title: Prof. Dr. Mr. Ms Category: IHPBA Member Yes No IHPBA Membership No. Non-Member Accompanying person PG Student* Foreign Delegate *Certificate from Head of Department is mandatory for PG Student *Name (to appear on certificate & badge) Age Sex MCI State MCI No Designation Institute Address City State Country Pin Code *Mobile Tel. (0) *Email Name of Accompanying Person (s) (1) Name Relation Age/Sex/ (2) Name Relation Age/Sex/ Personal Details (Please fill in BLOCK CAPITAL LETTERS) Field *Marks Are Mandatory Registration Details th 17 Annual Conference of India Chapter of International Hepato Pancreato Billiary Association Registration Fee Includes: 1. Admission to Scientific Sessions & Exhibition, Refreshment during breaks, Lunches & Dinners, Registration Material & Kit, Participation Certificate. 2. For Accompanying Person - Refreshment during breaks, Lunches & Dinners, Registration Material 3. Conference kit is subject to availability for spot registration. 4. We will accept only cash or credit/Debit card for spot registration Registration Cancellation & Refund Policy: 1.Cancellation on or before 30.11.19, 25% registration charges will be deducted. 2.Cancellation after 1.12.19 till 31.12.19, 50% of registration charges will be deducted. 3.No Cancellation or refund after 31.12.19. 4.Registration cancellation will be accepted only against the written request sent by email to [email protected] st before 31 December 2019. The refund process will begin 15 days after the conference (Note: Application bank charges will not be refunded for online registration) CATEGORY th Till 30 November 2019 st th 1 December 2019 to 15 January 2020 Late & Spot IHPBA Member INR 10000 INR 11000 INR 12000 Non Member INR 11500 INR 12500 INR 13500 P.G. Student* INR 5500 INR 6000 INR 7000 Accompanying Person INR 6000 INR 6500 INR 7000 Foreign Delegates USD 150 USD 175 USD 275 INDIA 2020 IHPBA 17 17 17 TH BHUBANESWAR ANNUAL CONFERENCE OF INDIA CHAPTER OF INTERNATIONAL HEPATO PANCREATO BILLIARY ASSOCIATION Conference Secretariat Dr Mohammad Ibrarullah | Organizing Secretary Mobile: 9937377331 Email: [email protected] Web: www.ihpbaindia2020.com Professional Conference Organizer 56, Institutional Area, Sector - 44, Gurgaon-122002, Haryana, India Mr. Rohit Kamra Mob: +91 9818965679 Email: [email protected] INDIA 2020 IHPBA 17 17 17 TH BHUBANESWAR ANNUAL CONFERENCE OF INDIA CHAPTER OF INTERNATIONAL HEPATO PANCREATO BILLIARY ASSOCIATION th th 24 - 26 January 2020 | Hotel Swosti Premium, Jayadev Vihar, Bhubaneswar *All prices are inclusive of GST 18% By demand draft/Multi city cheque/Bank Transfer (applicable only for Indian Delegate) in favor of "International Hepato Pancreato Biliary Association Bhubaneswar” Payable at Bhubaneswar. Account Name - International Hepato Pancreato Biliary Association Bhubaneswar IFS Code - UTIB0000438 Account number – 918020067601334 MICR code – 751211004 Branch Code- 000438 Cheque / DD / NEFT / Transaction No Name of Bank Account Holder Name Total Amount Transaction Date Signature Discount on Early bird Registration. Can be upgraded to residential package on request by adding the room rent. Payment Details Theme: HPB Surgery: Then and Now

Upload: others

Post on 12-Jul-2020

26 views

Category:

Documents


0 download

Report

TRANSCRIPT

Page 1: CONFERENCE REGISTRATION FORM (Please fill in BLOCK … registration form1.pdf · 2.Cancellation after 1.12.19 till 31.12.19, 50% of registration charges will be deducted. 3.No Cancellation

CONFERENCE REGISTRATION FORM

Title: Prof. Dr. Mr. Ms

Category: IHPBA Member Yes No IHPBA Membership No.

Non-Member Accompanying person PG Student* Foreign Delegate

*Certificate from Head of Department is mandatory for PG Student

*Name (to appear on certificate & badge)

Age Sex MCI State MCI No

Designation Institute

Address

City State Country Pin Code

*Mobile Tel. (0) *Email

Name of Accompanying Person (s)

(1) Name Relation Age/Sex/

(2) Name Relation Age/Sex/

Personal Details

(Please fill in BLOCK CAPITAL LETTERS)Field *Marks Are Mandatory

Registration Details

th17 Annual Conference of India Chapter of

International Hepato Pancreato Billiary Association

Registration Fee Includes:

1. Admission to Scientific Sessions & Exhibition, Refreshment during breaks, Lunches & Dinners, Registration Material & Kit, Participation Certificate.

2. For Accompanying Person - Refreshment during breaks, Lunches & Dinners, Registration Material

3. Conference kit is subject to availability for spot registration.

4. We will accept only cash or credit/Debit card for spot registration

Registration Cancellation & Refund Policy:

1.Cancellation on or before 30.11.19, 25% registration charges will be deducted.

2.Cancellation after 1.12.19 till 31.12.19, 50% of registration charges will be deducted.

3.No Cancellation or refund after 31.12.19.

4.Registration cancellation will be accepted only against the written request sent by email to [email protected] st before 31 December 2019.

The refund process will begin 15 days after the conference (Note: Application bank charges will not be refunded for online registration)

CATEGORYthTill 30 November 2019

st th1 December 2019 to 15 January 2020 Late & Spot

IHPBA Member INR 10000 INR 11000 INR 12000

Non Member INR 11500 INR 12500 INR 13500

P.G. Student* INR 5500 INR 6000 INR 7000

Accompanying Person INR 6000 INR 6500 INR 7000

Foreign Delegates USD 150 USD 175 USD 275

INDIA 2020IHPBA171717

TH

BHUBANESWAR

ANNUAL CONFERENCE OF INDIA CHAPTER OF INTERNATIONAL HEPATO PANCREATO BILLIARY ASSOCIATION

Conference SecretariatDr Mohammad Ibrarullah | Organizing SecretaryMobile: 9937377331Email: [email protected]: www.ihpbaindia2020.com

Professional Conference Organizer56, Institutional Area, Sector - 44, Gurgaon-122002, Haryana, IndiaMr. Rohit Kamra Mob: +91 9818965679Email: [email protected]

INDIA 2020IHPBA171717

TH

BHUBANESWAR

ANNUAL CONFERENCE OF INDIA CHAPTER OF INTERNATIONAL HEPATO PANCREATO BILLIARY ASSOCIATION

th th24 - 26 January 2020 | Hotel Swosti Premium, Jayadev Vihar, Bhubaneswar

*All prices are inclusive of GST 18%

By demand draft/Multi city cheque/Bank Transfer (applicable only for Indian Delegate) in favor of "International Hepato Pancreato Biliary Association Bhubaneswar” Payable at Bhubaneswar.

Account Name - International Hepato Pancreato Biliary Association Bhubaneswar IFS Code - UTIB0000438 Account number – 918020067601334 MICR code – 751211004 Branch Code- 000438

Cheque / DD / NEFT / Transaction No Name of Bank

Account Holder Name Total Amount Transaction Date Signature

Discount on Early bird Registration.

Can be upgraded to residential package on request by adding the room rent.

Payment Details

Theme: HPB Surgery: Then and Now

Web Messaging for Registration Cancellation for Non-Payment (RCFN) July 17, 2006

CANCELLATION OF REGISTRATION OF DESIGN. Cancellation of Registration Outlines of Presentation Sec 19 (1) (a) to (e) and (2) Rule 29 (1) to (13) Procedure

ipc2017.weebly.com · Web viewT.T slip to the Conference Secretariat *Registration will only be confirmed upon receipt of FULL PAYMENT. Cancellation Policy: Cancellation of registration

Tuition & Fee Pmt Due Date and Registration Cancellation Process PAYMENT CRITERIA AND SOME OTHER STUFF

Title 13 New York Code of Rules and Regulationscharitiesnys.com/pdfs/Proposed Charities Regulations...91.8 Cancellation of Article 7-A Registration & Re-Registration 91.9 Closing Registration

(To be filled out by BIR) 1905deped-misocc.net/wp-content/uploads/2019/10/1905-January-2018-ENCS... · 8 Closure of Business/Cancellation of Registration A. CANCELLATION OF TIN Death

Tuition & Fee Pmt Due Date and Registration Cancellation For Nonpayment Process

customs.gov.phcustoms.gov.ph/wp-content/uploads/2014/09/Cancellation...Cancellation of BOI Certificate of Registration No. 2013-044 issued to Primex Isle De Coco August 28, 2014 Attached

2018 NODA Regional Conference Cancellation Policy · PDF file2018 NODA Regional Conference Cancellation Policy If you need to cancel a registration, please email [email protected] with

+6 03 2681 2232 - msqh.com.my · B.6-1, Level 6, Menara Wisma Sejarah 230, Jalan Tun Razak 50400 Kuala Lumpur Website: CANCELLATION . Cancellation of registration is subject to the

2016 Conference Registration – Region 4 · registration can be completed. All individuals, including presenter, must register and pay the conference fee. Cancellation and Refund

DUCATIONAL ROGRAM - Olympus CanadaENDOSCOPIC ULTRASOUND (EUS) Nurse Training Seminar Cancellation: Registration fee, less a $25.00 administration charge, is refundable if cancellation

REGISTRATION OF DESIGNSipindia.nic.in/ipr/patent/journal_archieve/journal... · (Petition No.Can/041/2016) on 06/06/2016 for cancellation of registration of registered Design No

Cancellation of Union Registration

Chapter Registration - Amazon Web Services · 2018-06-08 · Ch-VI : Registration Sec. 22-30 294 BGM on GST Acts & Rules 23. Revocation of cancellation of registration 24. Migration

Petition for Cancellation - Trademark Trial and Appeal Boardttabvue.uspto.gov/ttabvue/ttabvue-92071637-CAN-1.pdf · CANCELLATION PETITION In the matter of trademark Registration No

2011-2012 Bill 426: Cancellation of license plate and ... · Web view2011-2012 Bill 426: Cancellation of license plate and registration - South Carolina Legislature Online Last modified

Text……… · Web viewCANCELLATION POLICY Registration fees are non refundable For Accommodation Written cancellation received by 30/04/2016: No cancellation fees. Written cancellation

Gst-Adm 12 - Application for Cancellation of Goods and Services Tax Registration or Special Scheme

[Chapter VI] - Neeraj Bhagat › pdf › GST- Registration- Edition 6.pdf · Rule 13 Revocation of cancellation of registration Rule 14 Migration of persons registered under Earlier

UNIVERSITY OF SALFORD · Web viewAPPEAL AGAINST CANCELLATION OF REGISTRATION/RE-REGISTRATION An appeal must be submitted within one week (5 working days) of notification of the cancellation

+6 03 2681 2232 - msqh.com.my Edition Training... · B.6-1, Level 6, Menara Wisma Sejarah 230, Jalan Tun Razak 50400 Kuala Lumpur Website: CANCELLATION . Cancellation of registration

Nomination Form (Registration / Addition / Cancellation)

Academic Policies Registration Procedures & Course ... · IV. Registration Procedures Changes and Cancellation of Course Offerings Every effort is made to hold courses listed in the

COURSE INFORMATION: COURSE DESCRIPTION Instructor: Cancellation Policy: Registration fee, less $50, will be refunded if written cancellation is received 30 days prior to the seminar

National Cluster Meetings Registration and …fcclainc.org/meetings/documents/NCM2015REGISTRATION...National Cluster Meetings Registration and Cancellation Policies REGISTRATION POLICIES

Cancellation letter should be sent to organizers by September 1st 2018. Please note that in case of cancellation, a 20% cancellation fee is retained. English Please note that registration

Act 17 Trademarks Act 2010 - Uganda Registration Services ... · 51. Notification of registration as registered user and or application for variation or cancellation of the registration

Registration / Cancellation

DIPARTIMENTO DI BIOTECNOLOGIE E SCIENZE DELLA VITA … · REGISTRATION CANCELLATION POLICY Cancellation received within the registration deadline (30 days before the beginning of

AUSTRALIAN LEADERSHIP CYBER-SECURITY WORKSHOP · Terms and Conditions 1.Cancellation of registration less than 3 weeks before the starting date of a course(s) will incur a cancellation

Public Notice for Cancellation of Registration of More Than 15 … · 2018-06-08 · Public Notice for Cancellation of Registration of More Than 15 Years old Commercial Vehicles (as

DAYTONA STATE COLLEGE AQUATIC CENTER … Camps 2018 + Pre-registration is required. Please note registration deadline date on registration form. Ways to Register, Refunds and Cancellation

gaosc.files.wordpress.com · 2017-04-05 · concerns with management. Registration and Cancellation Upon registering at Glen Allan Out of School Care, your fully completed registration

Nomination Form (Registration / Addition / Cancellation) · 2014-09-12 · Nomination Form (Registration / Addition / Cancellation) SIP ECS/DIRECT DEBIT FACILITY : REGISTRATION CUM