Stem Cell and Regenerative Medicine Symposium-2
25 January, 2014. NATIONAL BURNS CENTRE, Navi-Mumbai.
Registration Form
Dear Participant
PLEASE, before you submit this form look carefully at the details in Registration details. Complete information will be helpful to the Symposium organizer. Many Thanks.
PLEASE fill in form in Block Letters.
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Before submitting please print your registration!
You will not be able to see it again!
Thank you!
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Payment Options:
· DD/Cheque in favour of “Indian Burns Research Society- CME”
· Can be done by Direct Deposit/ Bank Transfer Details.
You can send DD/Cheque at:
Research Team
National Burns Centre
Sector-13, Plot no: 1, Airoli,
Navi-Mumbai-400708 (INDIA).
Bank Account Details:
Account Name : Indian Burns Research Society- CME
Bank Name : State Bank of India
Bank Address : Rabale Trans- Thane- Creek I A Thane Belapur Road, Vill -Airoli, Thane Dist Maharashtra- 400 708.
Account No : S. B. A/C: 10079313021
IFS Code NO : SBIN0003375
MICR Code No : 400002098
Swift Code No (Foreign Transaction) : SBININBB236
Poster Size : upto maximum size of 120 cm height and 90 cm width is only allowed.
Last Date for DD/Cheque to reach us: 21 January, 2014.
Last Date for submitting Registration Forms: 20 January, 2014.
For Further Information & queries Contact :
Nigamananda Dey
Contact : 022-27796660-63
8879861416, 8879075164
Email : researchnbc@gmail.com
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