Dr Rajendra Prasad
Centre for Ophthalmic Sciences
National Workshop on Strabismus
3rd and 4th October, 2008
Registration form
Name................................................................................…......................
Age/Sex...............................................................…….…...........................
Present Designation &
Affiliation.....................................……….................
Address:
.......................................................................................………..
...............................................................................................................….
Phone (with STD
code):............................Mobile:.......................…………
E
mail:..........................................................................................…………
Details of educational
qualifications and experience (attach brief CV) Attach demand draft of Rs. 500 (non - refundable, application processing fee) in favour
of "AO, Dr. R P Center, Account (State Bank of
India, Draft payable at Delhi).
Mail to
Dr. Pradeep Sharma / Dr Rohit
Saxena
National Workshop on Strabismus
Room No. 485,
Dr Rajendra Prasad Centre for
Ophthalmic Sciences,
AIIMS, Ansari Nagar, New Delhi-110029
Phone No. 011-26588500-Extn-3185
E-mail - workshoprpc@gmail.com
Last date for submission: 15th September 2008
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