Registration details and Registration form

Registration Fees:

Category             Up to July31st                               UpT o Sept 10th                           Spot registration.
Delegate                 2500                                                     3000                                             4000
Co-delegate            1500                                                     2000                                             2500
PG                          1500                                                     2000                                             2500

Early registration is appreciated.

Registration form

Name: ...................................................................................
Designation : .......................................................................
Name of the Institution : ..................................................
Mailing Address : ...............................................................
.................................................................................................
.................................................................................................
Email: ...................................................................................
Mobile No. : ..........................................................................
Name(s) of co-Delegate(s) : ..........................................
Title of the Paper/Poster : .............................................
Delegate Fee : ...................................................................
Co-Delegate : .....................................................................
Accommodation advance : .....................................................................
Total : .....................................................................................
Mode of Payment (DD  or  NEFT): ................................
DD No: ................................ Dated .............................of ......................... Bank, in favour of
SIMLA - 2013 payable at Bangalore.

NEFT transfer:
Payment can be done online from any bank to our account by NEFT.
A/c.Number of SIMLA-2013: 67213598068
State bank of Travancore, AV road branch, Bangalore
IFS CODE: SBTR0000242

PG Students must enclose a letter from the Head of the Department along with the registration form.

Participants are requested to send the duly filled registration form to :

Organizing Secretary, SIMLA-2013
Dept. of Forensic Medicine, Victoria Hospital,
Fort, Bangalore - 560 002.

Email Address : simlabmcri13@gmail.com