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Title
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Prof.
Dr.
Mr.
Ms.
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Deadlines
Up to
15.07.2010
From
16.07.2010
to31.08.2010
After 31.08.2010
& spot
Please Choose
Registration Fee
INR
USD
INR
USD
INR
USD
Conference Only-As delegate
5000
300
6000
350
7000
400
Conference Only-As student
2500
150
3000
175
3500
200
Workshop 1
CD4
+
/CD8
+
cell count and HIV viral load estimation and their Role in AIDS monitoring
10000
400
11000
450
N.A.
-
Workshop 2
HBV & HCV Viral Load Estimation
10000
400
11000
450
N.A.
-
Accompanying Person
2000
100
2500
125
3000
150
*PG Students need to submit a letter from the Head of the Department of their respective college / institution.
** Children over 12 years would be treated as accompanying person.
Payments to be made by Credit Card/DD/Banker's Cheque only, drawn in favour of "ICOPA INDIA", Payable at New Delhi.
For International Bank Transfer Details:
Name of the bank: State Bank of India, Ansari Nagar, New Delhi- 110 029, India
Bank Account No. 1087459090-8
Swift Code: SBININBB545
For Credit Card Users Pls Click on Submit Button without filling Cheque No, Date & Drawn On
I am Payig this Amount in Rs. or USD
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USD
I am sending herewith DD/Banker's Cheque No
dated
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28
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30
31
01
02
03
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05
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07
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09
10
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12
2010
drawn on
bank, For Rs/US$
payable at New Delhi.
For Credit Card Users Pls Click on Submit Button without filling Cheque No, Date & Drawn On
Please keep a photocopy of the form for your record.