SCS- ISIC

Forthcoming Events

9th World Congress for NeuroRehabilitation

10-13 May 2016
Philadelphia

For further information, you please visit the website: http://wcnr2016.org/

Spinal Cord Society of West Bengal

SPINAL CORD SOCIETY OF WEST BENGAL (SCSWB)
Regd. No. : s / 11 / 55787 of 2008 – 2009
Pan No. : AADAS6785J

Please Fill the Form all fields are Mandatory

Name :

Age :

Gender :

Male Female

Address :

Telephone Residence :

Mobile :

E-mail :

Qualifications (with years):

Current Position :

Other Professional Memership :

Relevent Experience Discription:

Category of Membership

Registration for :

Conference

Workshop

Please tick appropriate box : (Category of delegates)

Full Member

Life

Annual

Associate Member

Allied Member

Membership Fees to be paid by chequee/DD in favour of "SPINAL CORD SOCIETY OF WEST BENGAL" Payble at KOLKATA, as the following ammount :

Full Member (Post Graduate Doctor)

Life – Amount RS. 2000 /- Annual - Amount RS. 1000 /-

Associate Member (Non Post Graduate Doctor)

Amount RS. 1000 /-

Allied Member (Allied and Paramedics)

Amount RS. 500 /-

Mail / Email the Registration form to the address given below.

Dr. M. M. Ghatak (Organizing Secretary, ISSICON 2011)
Incharge & Medical Director, Medical Rehabilitation Center, TRA General Hospital, 7,
Dr. Biresh Guha Street, Kolkata – 700017.
Phone – (033) 2281-7881, Mobile – (0) 9830041948
E-mail – [email protected], [email protected], [email protected], [email protected]
Website – www.spinalcordwb.com

ISSICON 2011