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Get Isccm Chennai Hema Form

No Mode of payment Demand Draft Email Cheque Amount Rs. Rupees DD / Cheque. No. Date Drawn on Please draw a DD/Cheque in favour of ISCCM Chennai Branch and mail to the following address. Note Please add Rs. 50/- for outstation DD/ Cheque. Mailing Address Ms. D. Hema Door No.29 Plot No.1997 J- Block 13th Main Road Anna Nagar Chennai-600 040 Ph 91 44 4350 2252 / Email isccmchennai gmail.com Last date for registration October 15 2013 Registration form can be downloaded at www. INDIAN SOCIETY OF CRITICAL CARE MEDICINE CHENNAI BRANCH REGISTRATION FORM Annual Course On Hemodynamic Monitoring Echocardiography October 26 27 2013 Sat Sun Post Graduates Practitioners Rs. 2 000 Registration Fee Note Post should submit a letter attested by the Head of the Department Name Designation Address Telephone Off Resi Mobile. No Mode of payment Demand Draft Email Cheque Amount Rs. Rupees DD / Cheque. No* Date Drawn on Please draw a DD/Cheque in favour of ISCCM Chennai Branch and mail to the following address. Note Please add Rs. 50/- for outstation DD/ Cheque. Mailing Address Ms. D. Hema Door No*29 Plot No*1997 J- Block 13th Main Road Anna Nagar Chennai-600 040 Ph 91 44 4350 2252 / Email isccmchennai gmail*com Last date for registration October 15 2013 Registration form can be downloaded at www. INDIAN SOCIETY OF CRITICAL CARE MEDICINE CHENNAI BRANCH REGISTRATION FORM Annual Course On Hemodynamic Monitoring Echocardiography October 26 27 2013 Sat Sun Post Graduates Practitioners Rs. 2 000 Registration Fee Note Post should submit a letter attested by the Head of the Department Name Designation Address Telephone Off Resi Mobile. 2 000 Registration Fee Note Post should submit a letter attested by the Head of the Department Name Designation Address Telephone Off Resi Mobile. No Mode of payment Demand Draft Email Cheque Amount Rs. Rupees DD / Cheque. No* Date Drawn on Please draw a DD/Cheque in favour of ISCCM Chennai Branch and mail to the following address. INDIAN SOCIETY OF CRITICAL CARE MEDICINE CHENNAI BRANCH REGISTRATION FORM Annual Course On Hemodynamic Monitoring Echocardiography October 26 27 2013 Sat Sun Post Graduates Practitioners Rs. 2 000 Registration Fee Note Post should submit a letter attested by the Head of the Department Name Designation Address Telephone Off Resi Mobile. No Mode of payment Demand Draft Email Cheque Amount Rs. Rupees DD / Cheque. No* Date Drawn on Please draw a DD/Cheque in favour of ISCCM Chennai Branch and mail to the following address.

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