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REGISTRATION FORM
Contact Us by filling the form below or send us an e-mail

Your Name :

*Your Country :

*Your Email :

Age: yrs
Sex: Male Female
Member : OTSI Non-Member
Membership No.:
Designation:
Institution:

PG Students :

Yes No

Address for Correspondence:

Telephone(Office): Residence:
Your Query :

Details of Payment:-

Demand Draft No.: Date:

Issuing Bank:

REGISTRATION FORM DETAILS
Category Up to 20th August Registration Spot
Members 400 600
Non Members 500 700
Postgraduate Students 100 300
Accompanying Person 400 600

For PG student Certificate from HOD of concerned institute mandatory.

Payments are to be made by Demand Draft in favour of Ocular Trauma Society of India payable at New Delhi and sent at the following address:

Dr. A.K.Grover,
Organizing Secretary,
Vth Triennial General Assembly of the Ocular Trauma Society of India,
Vision Eye Centre,
12/27, West Patel Nager,New Delhi-110008
Phones: 25882129, 25887228, 25882822, Fax : 011-25881212,
Email: traumageneralassembly@yahoo.com , info@oculartraumasocietyofindia.org
Website: oculartraumasocietyofindia.org

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Copyright 2007 Ocular Trauma Society of India Pvt.Ltd. .

12/27, West Patel Nager, New Delhi - 110 088, INDIA. TEL: 25882129, 25887228, 25882822 ~ FAX:

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