Registration Fees

Category                     Early                               Late                                         Spot
                              Up to 15^th Oct               up to 10^th Nov          
 
CONFERENCE DELEGATE

AGOI Member       Rs.1000/-                                Rs.1200/-                                Rs.1500/-

Non-member           Rs.1500/-                                Rs.1700/-                                Rs.2000/-

               PG           Rs.500/-                                  Rs.600/-                                  Rs.750/-

Accompanying        Rs.800/-                                  Rs.1000/-                                Rs.1200/-

Total

Foreign delegates

S A A R C member   $50/-                                       $100/-                                      $150/-

                Other        $200/-                                      $300/-                                      $400/-

Total

WORKSHOP

 Delegate                  Rs.1000/-                                Rs.1500/-                                      -

        PG                   Rs.500/-                                  Rs.750/-                                        -

Accompanying        Rs.500/-                                   Rs.750/-                                       -

Foreign delegates     $100/-                                       $150/-

Grand Total

Registration Form

Name:   .................................................................................................................

Designation:...........................................................................................................

Address: ..............................................................................................................

              ..............................................................................................................

Telephone: ..........................................................................................................

E-Mail (necessary for correspondence): .......................................................................................

Cash /DD # : ............................................           Amount: .........................................................

Drawn on (bank).............................................................................

Rs.................................................                                              Signature

Demand draft should be in favour of  “ AGOICON 2006” payable at Delhi.

Mailing Address:

AGOICON 2006 Conference Secretariat:
Room No.3101, 3^rd Floor,
Department of Obstetrics & Gynaecology,
AIIMS, New Delhi-110029,
India