Register Online

FOGSI ADOLESCENT NATIONAL CONFERENCE
7th,8th, & 9th DECEMBER 2018, CHENNAI

REGISTRATION FORM

  • DELEGATE DETAILS :
  • Title:
  • Name of the Delegate :
  • Gender:
  • Age:
  • Institute / Hospital:
  • Designation:
  • Postal Address:
  • REGISTRATION FEE DETAILS
  • PRE CONFERENCE WORKSHOP ON ADOLESCENT HEALTH 7th Dec FULL DAY: Rs.750
  • Venue : ISO & KGH Auditorium, Kosha Hospital, Triplicane.
  • CONFERENCE: 8TH& 9TH Dec
  • Venue : Le Royal Meridien, Chennai.
  • Select Category Early paid Before (30.11.2018) AFTER (30.11.2018)
    FOGSI MEMBERS Rs.7000 Rs.8000
    POST GRADUATES Rs.6000 Rs.7000
    ACCOMPAYING Person Rs.4000 Rs.5000
  • AMOUNT



  • * Online registration:

    Beneficiary Account Name - OGSSI THULIR 2018.
    Account No: 716971979   IFS Code - TNSC 0000001
    Bank - TamilNadu State Apex Cooperative Bank, Branch - Egmore,

  • * Offline registration:

    Payment by DD/ Cheque in Favour of OGSSI THULIR 2018, payable at Chennai