21st Annual State Conference of NNF Karnataka

KARNEOCON
KAR NEOCON
M Y OF
DE

PE
A
2019

N AC

DIATRIC
IA
ASHWINI HOSPITAL

ND
Date: 4, 5 & 6th January 2019 I S

REGISTRATION FORM
Receipt No.: Regi. No.: Date: 21st Annual State Conference of NNF Karnataka

KARNEOCON
KARNEOCON
Name (in BLOCK): _______________________________________________

2019
Delegate  Post Graduate  Nurse  Foreign Delegate 
Age: ________________ Sex: M / F Na onality: _______________
Postal Address: _________________________________________________
______________________________________________________________ Date: 4, 5 & 6th January 2019
Contact No.: Mo. _________________ Tel. ____________________
Email ‐ ______________________________________________________ Theme
NNF Member Yes / No : if yes NNF Registra on No. ______________ “Optimizing Neonatal Outcomes
KMC Registra on No.: ____________________________________________ Through Preve ntion”
Amount Paid:
1) Conference Rs. _________________ Venue:
Kacchi Bhavan, BLDE Road, Vijayapura
2) Workshop Rs. __________________ Total: Rs. __________________
Workshops (Please Specify): Host
  2) Neonatal Ven la on 
1) Advanced NRP
NNF Karnataka Chapter
3) Therapeu c Hypothermia   4) Neonatal Nursing 
5) Func onal Echocardiography & Point of Care Ultrasonography 
Co‐Hosts
Payment Mode: Cash  Cheque  DD  NEFT  Ashwini Institute of Child Health
& Research Center, Vijayapura
DD / Cheque No. : ________________ Dated: ______________
IAP ‐ Karnataka IAP ‐ Bagalkote
Transac on ID / NEFT Details: ________________________ IAP ‐ Vijayapura FOGSI ‐ Vijayapura

Signature For More Details Contact

Send the duly filled Registration Form to Chief Organizing Secretary - Dr. Siddu Charki
Conference Secretariat: Dr. Siddu Charki, Chief Organizing Secretary Mo.: 9008002974, 7892983327. email: drsidducharki@gmail.com
Dr. Bidari’s Ashwini Hospital, BLDE Road, Vijayapur - 586 103. www.nnfkarnataka.com
Dear Colleagues,
KARNEOCON 2019 - ORGANIZING TEAM
Warm Greetings from KARNEOCON 2019! Organizing Chairperson Organizing Co-Chairpersons Chief Organizing Secretary
Dr. L. H. Bidari Dr. A. N. Thobbi Dr. Siddu Charki
Dr. S. V. Patil
We are proud to invite you to the North Karnataka's one of the main medical
Organizing Secretaries Jt. Organizing Secretaries NNF Karnataka Office Bearers
hub Vijayapura, an ancient city, which is one of the popular heritage and important Dr. Praveen Venkatgiri Dr. Sandeep H. Dr. Kishore Kumar
tourist place located in Karnataka state of India. It is also known as the land of five Dr. Pradeep G C M Dr. Prashant Gowda Dr. Archana Bilagi
rivers and the domain of different cultures. Dr. M. M. Patil Dr. Kumar S R Dr. Sahana Devdas
Dr. Laxmi Hadalgi Dr. Sunil Rodagi Dr. Abhishek
Dr. Maneesha
NNF Karnataka Chapter is organizing KARNEOCON 2019 Conference
on 4, 5, & 6th of January 2019. This event is a prestigious 21st Annual State IAP Karnataka IAP Vijayapura IAP Bagalkote FOGSI Vijayapura
Dr. Ravindra Joshi Dr. R. H. Gobbur Dr. R. N. Sonawalkar Dr. Vidya Thobbi
Conference of NNF Karnataka Chapter with participation of renowned faculty Dr. Vijay Kulkarni Dr. Parikshit Koti Dr. Ramesh Pol Dr. Suguna
from across the country and abroad in the field of Neonatology. Our team is planning Dr. Ravishankar M. Dr. Anil Sajjan Dr. Raghvendra Vanaki Dr. Jayashree Sajjanar
a comprehensive scientific feast comprising of unique workshops, oration and
interactive lectures. We extend our humble & heartfelt invitation to join hands for Abstracts:
this esteemed conference and make it a huge success. Call for Oral Paper (Award / Free) and Poster Presentation.
Abstracts are submitted via email to nnf.kar@gmail.com before 10th December 2018.
On behalf of the Organizing Committee we welcome you all to join us in this Please quote your Karnataka State NNF / IAP Membership Number.
event.
For Details Contact:
Thanking you, Dr. Praveen Venkatgiri - 7022022022, email: praveen.v@ovumhospitals.com

Dr. L. H. Bidari Dr. Siddu Charki Registration Details Main Conference

Organizing Chairman Chief Organizing Secretary
Category 1 September 2018 to 1 November 2018 to
31 October 2018 15 December 2018
Important Dates to Remember: (Including 18% GST) (Including 18% GST)

4th January 2019 (Friday) Workshops NNF Members Rs. 4700 Rs. 5300
Non-NNF Members Rs. 5300 Rs. 5900
5th & 6th January 2019 (Saturday & Sunday) Main Conference PG Students Rs. 3000 Rs. 3500
Accompanying Person / Child Rs. 5300 Rs. 5900
Faculty Rs. 4700 Rs. 4700
Workshops: Corporate Rs. 17500 Rs. 23500
1) Advanced NRP Workshops 1 September 2018 to 1 November 2018 to
31 October 2018 15 December 2018
2) Neonatal Ventilation
3) Therapeutic Hypothermia Delegates Rs. 1200 (Including 18% GST) Rs. 1200 (Including 18% GST)
PG Students Rs. 600 (Including 18% GST) Rs. 600 (Including 18% GST)
4) Neonatal Nursing
5) Functional Echocardiography & Point of Care Ultrasonography Spot Registration : Rs. 7000/- Inclusive of 18%GST
Bank Details: Bank Name- Vijaya Bank
A/c No.-147401011002675
Branch - Manchanayakanahalli
IFSC - VIJB0001474
Account Name - NNF Karnataka Chapter

DD / Cheque in Favour of : NNF Karnataka Chapter, Payable at Bangalore.