APPRA 2016 - Online Registration

Online Registration Form

Name *
Designation *
Department
Institute
Email Address *
Mailing Address
Mobile No. *

Registration Category * (Mark your choice)	PG Senior Resident/Practitioner Faculty Foreign Delegate

Workshop Note: A single delegate can register maximum of two workshops - one in the morning and/or one in the afternoon	Fluoroscopic Guided Cadaver workshop Basic Level (Morning) Advanced Level (Afternoon) Ultrasound Guided Blocks Regional Anesthesia (Morning) Chronic Pain (Afternoon)

Conference Only	Conference Only

Mode of Payment * (Mark your choice)	Demand Draft/Cheque NEFT Transfer

Cheque/DD No.
Drawn on
Branch
NEFT Acknowledgement No.
Amount

Coming soon...

	Eminent International and National faculty

	Live demonstration from OR on fluroscopic guided Interventional pain procedures

	Workshop on fluoroscopic guided chronic pain interventions on cadaver

	‘Workshops on-’ Hands on ultrasound guided nerve blocks-Scanning on volunteers’- both in regional anesthesia and chronic pain

	Comprehensive and focused learning of current trends in PainMedicine & Regional Anesthesia
	Lectures, Panel discussions
	Scientific Paper Presentation