BONAFIDE CERTIFICATE

PATRON Thiru. V. R. Venkataachalam Chancellor Sri Ramachandra University ORGANIZING CHAIRMAN Prof. Lt. Col. A. Ravikumar Head Department of ENT, Head & Neck Surgery CO-CHAIRMEN Prof. Ramesh Kumar Subramanian, HOD, Anatomy Prof. Sanjeev Mohanty Prof. K. Senthil Prof. L. Somu

This is to certify that Dr.____________________ ______________________________________ is a bonafide student undergoing _______________ course.

TEMFESS 2012
XII HANDS ON TEMPORAL BONE DISSECTION & CADAVERIC FESS WORKSHOP
8th and 9th December, 2012

Place : Date :

Head of Department (Seal)

ORGANIZING COMMITTEE Dr. Maj. John Samuel Dr. Maj. S. Prasanna Kumar Dr. M. Gopinath Dr. S. Shyam Kumar Dr. P. Vijaya Prabhu Dr. Jousal Dr. Savitha

Kindly send your registrations to

Dr. Mukundan Subramanian Organizing Secretary Department of ENT, Head & Neck Surgery, Sri Ramachandra Medical College & Research Institute, Porur, Chennai 600116 Phone: 044-45928500 Extn: 8227/ 312/490 Mob: 9962193836 Email: temfess@gmail.com

Venue Anatomy Dissection Hall, SRMC & RI, Chennai Organized by Department of ENT, Head & Neck Surgery Sri Ramachandra University

Dear Colleague, I am delighted to let you know of our forthcoming XII Hands on Temporal Bone Dissection & Cadaveric FESS Workshop TEMFESS-2012 to be held on the 8th and 9th of December 2012. The appreciation of this workshop over the years has been a great encouragement for us to continue to help enhance knowledge and skills in Temporal Bone Dissection and Endoscopic Sinus Surgery. Registration will be only on first come first serve basis due to the limited availability of bones and cadavers. The Registration Fee covers coffee breaks and lunches on both days and a banquet on the first day Accommodation is available within the hospital campus. Kindly intimate if accommodation is required. If you are interested, please complete the registration form and return it with the appropriate fee by Demand Draft ONLY in favor of TEMFESS payable at Chennai before 10th Oct 2012. Post graduates are required to submit bonafide certificate duly signed by the Head of Department. No refund will be made on cancellation of registration after 10th Nov 2012 We look forward to welcoming you to this annual academic event

Programme Highlights
Saturday 8 December 2012 Temporal Bone Dissection Stapedectomy Cortical Mastoidectomy Posterior Tympanotomy & Cochleostomy Modified Radical Mastoidectomy Facial Nerve Decompression Labyrinthectomy & approach to internal acoustic meatus (Demonstration only) Sunday 9 December 2012 Cadaveric FESS Diagnostic Nasal Endoscopy, Infundibulotomy, Middle Meatal Antrostomy Anterior Ethmoidectomy & Frontal Sinusotomy Posterior Ethmoidectomy & Sphenoidotomy Endoscopic Orbital Surgeries & Pituitary Surgery (Demonstration only)
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TEMFESS 2012 REGISTRATION FORM

Name: _________________________________________ Age/Sex : _______________________________________ Mailing Address: __________________________________ ______________________________________________ _________________________Pin:__________________ Mobile No: ______________________________________ Email: _________________________________________ Designation/ Hospital: _____________________________ ______________________________________________ I would like to register for the course as a (Please tick appropriate box) o Hands on Temporal Bone Dissection Delegate with Rs 6,000/o Hands on Cadaveric FESS Delegate with Rs 6,000/o Hands on Temporal Bone Dissection + Delegate with Cadaveric FESS Rs. 10,000/o with Hands on Temporal Bone Dissection Post Graduate Rs. 4,500/ o with Hands on Cadaveric FESS Post Graduate Rs. 4,500/o with Hands on Temporal Bone Dissection + Post Graduate Cadaveric FESS Rs. 8,000/o Observer Accommodation Required Yes /No Rs. 2,000/-

CME Credit 10 Hours for both days 6 Hours for one day

Please send the amount by Demand Draft ONLY in favour of TEMFESS payable at Chennai DD No: Issuing Bank Date

Dr. Mukundan Subramanian Organizing Secretary