XI International Conference Dermatology &

42nd Annual Conference of IADVL
December 4-7, 2013, Hotel The Ashok, New Delhi, India
Theme: SKINDIA – A Global Palette of Dermatology

Mail to:

Congress Secretariat
XI ICD and 42nd DERMACON
Dr. Vinod K Sharma
Congress President
Suite No. 4070, 4th Floor, Teaching Block,
AIIMS, Ansari Nagar, New Delhi – 110029
Email: register.icd2013@gmail.com
Website: www.icddelhi2013.com

IADVL / SARAD REGISTRATION
Name (As you would like it to appear in your name badge) ..........................................................................................................................
Institution...........................................................................................Designation.....................................................................................
Age........................................................IADVL Membership No......................................................Gender: Male

Female

Address.....................................................................................................................................................................................................
..................................................................................................................................................................................................................
City: .................................................................. Pin Code: ......................................................... State: ..................................................
Telephone (Nos): STD Code: ............. (Res.): ......................................... (O/H): ................................... Mob: ............................................
Email.........................................................................................................................................................................................................
Name (s) of the Accompanying Person (s)
(1)............................................................................................................ (2) ............................................................................................
(3)............................................................................................................(4) ............................................................................................
Food Selection :

Vegetarian

Non-Veg

Continental

Other

REGISTRATION FEE FOR IADVL MEMBERS (in INR)
Registration Category

Early Bird
1st Jan-30th April

Early
1st May-31st July

Late
1st Aug-31st Oct

Onsite from
1st November onwards

Reg Fee

S. Tax

Reg Fee

S. Tax

Reg Fee

S. Tax

Reg Fee

S. Tax

Member

14684.94

1815.06

17354.93

2145.07

19935.92

2464.08

26699.89

3300.11

Student

7119.97

Corporate / Non member

8,000
22249.91
2750.09

9,500
26699.89 3300.11

12,000
29369.88 3630.12

14,000
31149.88
3850.12

25,000
7119.97
880.03
8,000
4449.98
550.02
5,000

30,000
7119.97
880.03
8,000
4449.98
550.02
5,000

33,000
7119.97
880.03
8,000
4449.98
550.02
5,000

35,000
8899.96
1100.04
10,000
5339.98
660.02
6,000

16,500

Accompanying
Presidential Dinner

19,500

880.03

8454.97

1045.03

22,400
10679.96

Please select ()
your registration
category

30,000

1320.04

12459.95

1540.05

COURSES REGISTRATION FEE (in INR)
Date

Category

th
5
Dec

Timings

Fee

Service Tax

Total Fee

COURSE 1. Lasers In Dermatology

14:30-18:00

2224.99

275.01

2500

COURSE 2. Aesthetic Dermatology

14:30-18:00

2224.99

275.01

2500

th
6
Dec

COURSE 3. Dermatopathology

14:30-18:00

2224.99

275.01

2500

th
7 Dec

COURSE 4. Dermatoscopy

14:30-17:30

2224.99

275.01

2500

WORKSHOP REGISTRATION FEE FOR IADVL AND SARAD MEMBERS (in INR)
Date
th
6

Category

Dec

Timings

Fee

Service Tax

Total Fee

WS 6 Dermatologic Surgery

09:00-10:30

2224.99

275.01

2500

WS 11 Surgery In Vitiligo

16:30-18:00

2224.99

275.01

2500

GRAND TOTAL in INR
* SARAD Delegates will need to pay total equivalent amount in US Dollars.
XI ICD & 42nd

Web: www.icddelhi2013.com
DERMACON – Delegate Reg. Form – Page No. 1 of 2 (P.T.O)

welcome and banquet dinner......Choose any two free workshops... Important Note: To register as IADVL / SARAD..... India.. Web: www.. 13 Aesthetic Dermatology SYMP..... 5 New Diseases 6 th Dec SYMP... 14 What is new ? SYMP.... Registration is mandatory for all participants... Signature ... not more than one per day..... 6 Nutrition And Skin WS 8 Genital Dermatology SYMP. Children above 3 years should be registered as accompanying persons.... 15 STD /HIV SYMP. lunches & banquet dinner. Workshop Date () Any Two Choose any one free symposiums on each day of the conference.. 7 Research In Dermatology WS 9 Lymphoma SYMP....... 2 Aging And Skin SYMP...... 8 Vitiligo WS 10 New Drugs SYMP. WS 1 Genetics and Skin 5th Dec WS 2 Psoriasis WS 3 Parasitic Dermatology 5th Dec 6 Dec SYMP..icddelhi2013...... Delegate bag will be issued subject to availability & is not mandatory.......* The category of accompanying person includes only spouse.... . daily tea/coffee and lunch...* The category of Post Graduate student is applicable to students pursuing postgraduate courses in dermatology only.................. please write IADVL / other membership number.. Children below 3 years of age are free from registration. Only cash and credit cards will be accepted (Cheque will not be acceptable)..... 12 Skin Infections SYMP.. Post Graduate students must send/bring a letter or recommendation from their head of department.... 10 Oncology WS 13 Leprosy 7th Dec SYMP. 2 of 2 .. Place . 3 Acne/Rosacea SYMP...... 4 Community Dermatology WS 5 Pigment Disorders WS 7 Nail Disorders WS 14 Inflammatory Diseases () Any Three SYMP.. 16 Contact Dermatitis Instructions: Please send the registration charges by demand draft/Multicity cheque in favour of “11th INTERNATIONAL CONGRESS OF DERMATOLOGY” payable at New Delhi. Spot Registration: Will be limited in nature. 9 Eczema WS 12 Autoimmune Diseases SYMP..... Registration fee includes delegate kit... 1 Tropical Dermatology WS 4 Hair th Symposium Date SYMP..... Form – Page No............ children and other dependent family members................... including sister society meetings. 2013 is by invitation or purchase of coupon.......com XI ICD & 42nd DERMACON – Delegate Reg... Accompanying person registration entitles inauguration & valedictory function.... For office use only: Receipt No... Registration No... 11 Pediatric Dermatology 7th Dec WS 15 ITCH SYMP..... entry to all lecture halls and exhibition area.. * President's Dinner on December 5.

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