ICP National CME-2015
24-25 July 2015
Organised by
GMCH Pathology Society
Department of Pathology
Government Medical College & Hospital, Chandigarh
Logo of ICP
Post-CME Retreat 25-26 July 2015
www.icpcme2015.org; email: icpcme2015@gmail.com
Registration Form for CME
(Includes registration kit, scientific sessions on day 1 and day 2, related hospitality)
Patron
Prof. Atul Sachdev
Chairperson
Prof. Harsh Mohan
Co-Chairperson
Prof. Uma Handa
Organizing Secretary
Dr. Anita Tahlan
Treasurer
Dr. Sukant Garg
Advisory Committee
Dr. Anita Borges,
Overseas Advisor, ICP
Prof. K Joshi,
Dean, ICP
Prof. DN Lanjewar,
Vice Dean, ICP
Prof. Francisco Couto,
Name
Age/Sex
Designation
Organisation
Place/City
Contact No.
Email ID
Address
Amount
Demand Draft no.
OR
Transaction ID with
date
Secretary, ICP
Dates
Delegates
Chairperson, NW-IAPM
Up to 31.05.2015
1.06.2015 to 30.06.2015
01.07.2015 to 14.07.2015
15.07.2015 onwards
Rs 2000/Rs 2500/Rs 3000/Rs 3500/-
Prof. RK Vashishta,
Executive Members
Prof. RPS Punia
Dr. Anshu Palta
Dr. Ranjeev Bhagat
Dr. Shilpa Goyal
Dr. Phiza Aggarwal
Dr. Vidhu Jaswal
Dr. Vidhi Gupta
Dr. Sapna Bhalla
Dr. Harshi Dhingra
Dr. Poonam Adlakha
Dr. Sonam Arora
Dr. Ekta Jain
Dr. Simranjit Kaur
PG-JRs (with certificate
from HOD )
Rs 1500/Rs 2000/Rs 2500/-
Please print your registration form (CME/Retreat) and send it
along with demand draft drawn
in favour of North West-IAPM, payable at Chandigarh”
to the conference secretariat.
OR
Remit via NEFT/online transfer to:
Account No. 2448101001068 (Canara Banks, Sector 32-D,
Chandigarh)
IFSC code: CNRB0002448
MICR code: 160015002