1
Category 1st April - 31th August 2019 1st September 2019 Onwards ISOT Members INR 12000 INR 15000 ISOT Non-Members INR 15000 INR 18000 SAARC Members USD 400 USD 500 AST Member USD 600 USD 800 Non AST Member USD 700 USD 900 PG Students Indian INR 6000 INR 7000 International USD 200 USD 250 Transplantation Coordinator/ IATC Member (30th Sept & 1st Oct) Indian INR 4000 INR 5000 International USD 58 USD 72 Transplantation Coordinator/ IATC Non- Member (30th Sept & 1st Oct) Indian INR 5000 INR 5000 International USD 72 USD 72 Transplant Infectious Disease (30th Sept & 1st Oct) Indian INR 4000 INR 5000 International USD 300 USD 400 Pathologists (30th Sept & 1st Oct) Indian INR 5000 INR 6000 International USD 72 USD 86 Corporate Indian INR 15000 INR 15000 International USD 250 USD 250 Banquet Dinner Indian INR 3000 INR 3000 International USD 100 USD 100 Accompanying Person Indian INR 4000 INR 5000 International USD 300 USD 400 C AST Congress of The Asian Society of Transplantation 16 th th nd 29 Sep - 2 Oct 2019 | India Expo Mart, Greater Noida, Delhi NCR Title Dr. Prof. Mr. Ms. ISOT/AST Membership No Full Name Designation Organisation / Institution Complete Correspondence Address City Pincode State Country Email Telephone Mobile Accompanying Person 1) 2) Personal Details (Please fill in BLOCK LETTERS) Pre-conference Workshop on 29th September 2019 Each workshop will cost Rs. 2000/USD 50. The Pre-conference workshop can be selected during the registration process 1. Organ Retrieval Workshop (Live demonstration in IEML) and Surgical Issues: Renal Transplantation Live workshop on Robotic Kidney transplant 2. Immunology and Transplantation 3. ABOIKT 4. Kidney Paired Donation (KPD) Lead Transplant Coordinator Workshop for Intensivists on 30th September 2019 5. Pediatric Solid Organ Transplantation Session 6. Transplant Hepatology Workshop 7. Post Graduate Course in Kidney Transplant 8. Hands on Organ Retrieval Workshop at AIIMS (Only 8 seats for Cadaver) INR 7000 / USD 100 1. Cheque / Demand Draft You can pay by Cheque / Demand Draft in favor of “CAST 2019" Payable at New Delhi Cheque /DD No Amount Dated Bank 2. Bank Transfer You can pay by bank transfer using the following instructions: A/C Name : CAST 2019 A/C No. : 50100234046803 Bank : HDFC Bank IFSC Code : HDFC0000043 Branch Name : Saket, New Delhi Swift Code : HDFCINBBDEL Kindly intimate us through mail on [email protected], if you do any transfer (NEFT/RTGS/IMPS) in the account or deposit any cheque or DD Courier the Form and demand draft/cheque to: Mr. Rohit Kamra, Meetings And More 56, Institutional Area, Sector 44, Gurugram - 122002, Haryana, Phone: +91-124-4938914 Mob: +91 9818965679, Email: [email protected] Conference Secretariat Prof. Anant Kumar, Organising Secretary 2, Max Super Specialty Hospital, Delhi, Press Enclave Marg, Saket Institutional Area, Saket, New Delhi, Delhi 110017 Email: [email protected], Web: www.cast2019.in Professional Conference Organizer Meetings And More, 56, Institutional Area, Sector - 44, Gurugram - 122002, Haryana, India Mr. Rohit Kamra, Mob: +91 9818965679, Ph: +91 124 - 4938914 Email: [email protected], Web: www.meetingsnmore.com Cancellation Policy Payment Details From 15.06.2019 - 50% cancellation fee. 50% refund (against registration) will be processed less service tax as per current government norms & bank processing charges @ 3% (In case of payment by card) After No Refunds 15.08.2019 -

C 16 Congress of The Asian Society of Transplantation AST Form.pdf · 2019-09-04 · 6. Transplant Hepatology Workshop 7. Post Graduate Course in Kidney Transplant 8. Hands on Organ

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Page 1: C 16 Congress of The Asian Society of Transplantation AST Form.pdf · 2019-09-04 · 6. Transplant Hepatology Workshop 7. Post Graduate Course in Kidney Transplant 8. Hands on Organ

Category 1st April - 31th August 2019 1st September 2019 Onwards

ISOT Members INR 12000 INR 15000

ISOT Non-Members INR 15000 INR 18000

SAARC Members USD 400 USD 500

AST Member USD 600 USD 800

Non AST Member USD 700 USD 900

PG StudentsIndian INR 6000 INR 7000

International USD 200 USD 250

Transplantation Coordinator/ IATC Member (30th Sept & 1st Oct)

Indian INR 4000 INR 5000

International USD 58 USD 72

Transplantation Coordinator/ IATC Non-Member (30th Sept & 1st Oct)

Indian INR 5000 INR 5000

International USD 72 USD 72

Transplant Infectious Disease(30th Sept & 1st Oct)

Indian INR 4000 INR 5000

International USD 300 USD 400

Pathologists(30th Sept & 1st Oct)

Indian INR 5000 INR 6000

International USD 72 USD 86

CorporateIndian INR 15000 INR 15000

International USD 250 USD 250

Banquet DinnerIndian INR 3000 INR 3000

International USD 100 USD 100

Accompanying PersonIndian INR 4000 INR 5000

International USD 300 USD 400

CAST

Congress of The Asian Society of Transplantation16

th

th nd29 Sep - 2 Oct 2019 | India Expo Mart, Greater Noida, Delhi NCR

(Please fill in BLOCK LETTERS)

Title Prof. Dr. Mr. Ms. ISOT / AST Membership No.

Full Name Nationality

Gender Male Female Email ID

Mailing Address

City State Country Zip / Postal Code

Organisation / Institution Designation

Mobile No Tel No Fax No

Name to be printed on Certificate & Badge

Personal Details

Accompanying Person Name 1

Accompanying Person Name 2

Accompanying Person Name 3

No. of Accompanying Persons

Food Preference Veg Non Veg Jain

Category st Early Bird Till 31 March 2019 st th1 April - 30 June 2019 st1 July 2019 Onwards

ISOT Members INR 10000 INR 12000 INR 15000

ISOT Non-Members INR 12000 INR 15000 INR 18000

SAARC Members USD 300 USD 400 USD 500

AST Member USD 500 USD 600 USD 800

Non AST Member USD 600 USD 700 USD 900

PG Students/Students

Indian INR 5000 INR 6000 INR 7000

International USD 150 USD 200 USD 250

Transplantation Coordinator

Indian INR 3000 INR 4000 INR 5000

International USD 250 USD 300 USD 400

Accompanying Person

Indian INR 3000 INR 4000 INR 5000

International USD 250 USD 300 USD 400

Banquet DinnerIndian INR 3000 INR 3000 INR 3000

International USD 100 USD 100 USD 100

Title Dr. Prof. Mr. Ms. ISOT/AST Membership No

Full Name

Designation Organisation / Institution

Complete Correspondence Address

City Pincode

State Country

Email

Telephone Mobile

Accompanying Person

1) 2)

Personal Details (Please fill in BLOCK LETTERS)

Pre-conference Workshop on 29th September 2019Each workshop will cost Rs. 2000/USD 50. The Pre-conference workshop can be selected during the registration process

1. Organ Retrieval Workshop (Live demonstration in IEML) and Surgical Issues:

Renal Transplantation Live workshop on Robotic Kidney transplant

2. Immunology and Transplantation

3. ABOIKT

4. Kidney Paired Donation (KPD)

► Lead Transplant Coordinator Workshop for Intensivists on 30th September 2019

5. Pediatric Solid Organ Transplantation Session

6. Transplant Hepatology Workshop

7. Post Graduate Course in Kidney Transplant

8. Hands on Organ Retrieval Workshop at AIIMS

(Only 8 seats for Cadaver) INR 7000 / USD 100

1. Cheque / Demand Draft

You can pay by Cheque / Demand Draft in favor of “CAST 2019" Payable at

New Delhi

Cheque /DD No

Amount

Dated

Bank

2. Bank Transfer

You can pay by bank transfer using the following instructions:

A/C Name : CAST 2019 A/C No. : 50100234046803

Bank : HDFC Bank IFSC Code : HDFC0000043

Branch Name : Saket, New Delhi Swift Code : HDFCINBBDEL

Kindly intimate us through mail on [email protected], if you do

any transfer (NEFT/RTGS/IMPS) in the account or deposit any cheque or DDCourier the Form and demand draft/cheque to: Mr. Rohit Kamra, Meetings And More

56, Institutional Area, Sector 44, Gurugram - 122002, Haryana,

Phone: +91-124-4938914 Mob: +91 9818965679, Email: [email protected]

Conference SecretariatProf. Anant Kumar, Organising Secretary

2, Max Super Specialty Hospital, Delhi, Press Enclave Marg, Saket Institutional Area, Saket,

New Delhi, Delhi 110017

Email: [email protected], Web: www.cast2019.in

Professional Conference Organizer

Meetings And More, 56, Institutional Area,

Sector - 44, Gurugram - 122002, Haryana, India

Mr. Rohit Kamra, Mob: +91 9818965679, Ph: +91 124 - 4938914

Email: [email protected], Web: www.meetingsnmore.com

Cancellation Policy

Payment Details

From 15.06.2019 - 50% cancellation fee. 50% refund (against registration) will be processed less service tax as per current government norms &

bank processing charges @ 3% (In case of payment by card) After No Refunds15.08.2019 -