SEVENTH BIENNIAL CONGRESS OF THE ASIAN SOCIETY OF HEPATO-BILIARY PANCREATIC SURGERY AND SECOND BIENNIAL CONGRESS OF INDIAN SECTION OF INTERNATIONAL HEPATO-PANCREATO BILIARY ASSOCIATION
28th - 31st August 2003    Chennai (Madras), India

REGISTRATION FORM

Please return this form to the Congress Secretariat
First Name:

Institute:

 
City: Country: Zip code:
Phone Number: Fax: E-mail:


Category Before 1st March 2003 Before 1st May 2003 After 1st May 2003 No of persons Amount
Member US$ 500 US$ 600 US$ 700    
Non-Member US$ 550 US$ 650 US$ 750    
Nurse/Tech./Resident US$ 150 US$ 175 US$ 200    
Accompanying Person US$ 150 US$ 150 US$ 150    



MODE OF PAYMENT

  Demand Draft Bank transfer
Bank Name    
Number    
Date    


Registration form should be accompanied by:
 BANK TRANSFER:
Swift Code: HSBCINBB 041-152786-007
A/c. NAME:"DR.B.KRISHNA RAU" 041-152786-007

DEMAND DRAFT:

In favour of  "Dr. B. KRISHNA RAU" A/c.No.041-152786-007 (OR) 
                  "Dr. B. KRISHNA RAU" 7th ASHBPS 2003 A/c. 163998
CANCELLATION: On or before 1st June 2003 will receive the Registration Fee after deducting handling charges of US$ 100. No refund thereafter.

Post this Form to:

PROF. B. KRISHNA RAU

7th Congress Of ASHBPS 2003
9(5), Chandra Bagh Avenue II Street, 
Mylapore, Chennai - 600 004, Tamil Nadu, INDIA.

Tel: 91-44-28473577,28473777

Fax: 91-44-28473804
E-mail: [email protected]  Website: www.ashbps2003.com