NATIONAL PHYSIOTHERAPY CONFERENCE 2011 on Recent Trends in Physiotherapy

Registration Form
Name : Age : ...... Gender : ......

Name of Institute : ....Designation................. Address : ................ Email : Contact No. .........

Conference Registration
Registration Fees Post marked by 25 July 2011 F e . R . 1 0 / . es s 50L t R g s r t o F e P s m r e b 3 J l 2 11 F e . R . 1 0 / ae eitain es ot akd y 1 uy 0 . es s 80So Rgsrto Fe R. 20/ pt eitain es s 00-

W orkshop Fees : Rs. 1000/W orkshop Course A Pes tc lae ik W orkshop Course B teCus wihyuhv pandt atn h ore hc o ae lne o ted W orkshop Course C

Accommodation Tai P a rff l n

Accommodation Require on Self Finance: Ye s
Supper Deluxe R . 2 0 / s 50Dlx R.10/ eue s 20St n a d R . 6 0 adr s 0/

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Odnr R.30riay s 0/

P p r P e e t t o / P s e P e e t t o : Ye ae rsnain otr rsnain s

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I Ye, Title of Paper : ................. f s Please make demand drafts in the favour of National Physiotherapy Conference College of Physiotherapy R j s h n Vi y p e h payable at Udaipur aata daet, Filled form & DD should be submitted to : Dr. Satya Bhushan Nagar Organizing Secretary National Physiotherapy Conference -2011 Department of Physiotherapy Janardan Rai Nagar Rajasthan Vidyapeeth (Deemed) University Airport Road, Dabok-Udaipur (Raj.) Mobile No. 09414291078, Office No. 0294-2656271 W e s t : w w w. r r c t o bie j n v p . rg, Email : principaljrnrvdpt@yahoo.in