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Bronchoscopy Registration

Name *
Address*
Hospital Address*
City *
State *
Pin Code *
Mobile *
Email *
ISCCM, NCCP, ICS, IAB Membership No *
  Membership Before 30.09.2015 After 30.09.2015
  ISCCM, NCCP, ICS, IAB 4000 INR 4500 INR
  Without Membership 4500 INR 5000 INR
  Total Paid Amount
INR 0.00
 
Security Code:*   
   Registration Cancellation Policy & Terms & Conditions
   [Note : Please check the registration cancellation policy & terms & conditions checkbox then enable submit button]
All Cheques / DD are to be made in favour of “Society of Critical Care Medicine - Delhi”
For Registration Contact:
Dr Manoj K Goel
Director & Head
Pulmonology, Sleep Medicine and
Pulmonary Critical Care
Fortis Memorial Research Institute
Sec-44 (Opp. HUDA City Centre Metro Station),
Gurgaon: 122002, Haryana (Delhi NCR) Mobile:+91 9958840441 E-Mail: drmanojkgoel@gmail.com

Dr Debashis Dar Dr Sandeep Dewan Dr Manoj K Goel
Chairman ISCCM Delhi Organizing Chairman Course Director
Dr Yash Javeri Dr Gargi Maitra Dr Ajay Kumar
Secretary ISCCM Delhi Joint Organizing Secretary Organizing Secretary