INFORMATION BROCHURE

th th16 & 17 November 2019

Jagannath Dham Puri, Odisha

Indian Academy of Pediatrics,

Odisha State Branch

Organised by:

th26 EAST ZONE & th

40 ODISHA STATE PEDICON 2019

th26 EAST ZONE &

th40 ODISHA STATE PEDICON 2019

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Dear Colleagues,

It gives great pleaser to invite you to 26th East Zone Annual Conference & 40th Odisha State Annual Conference of Indian Academy of Pediatrics “IAP East Zone Pedicon 2019” being organized at the Puri, Odisha on 16th & 17th November 2019.

Jagannath Temple, Puri belonging to the 11th century and enjoying the honour of being one of the 'char dhams', the pilgrimage that every Hindu intend to visit; Jagannath Temple is the honour of Puri and Odisha .The holy sight of Lord Jagannath, accompanied by Maa Subhadra and Lord Balabhadra raises loads of joy among the devotees.

The Golden Triangle of Bhubaneswar, Puri and Konark speak of dreams that are stitched with reality of those who are fascinated by history. The cultural heritage of Odisha beautifully comes out in handicrafts, amazing folklores and traditional songs and dances like Odissi. Religion still cast its spell over Odisha. Dhauli stupa near Bhubaneswar commemorate Ashoka`s conversion to Buddhism.

Bhubaneswar is well connected with all the metros of India with Air and railway.

You are most cordially invited.

With warm regards

Yours Sincerely

Dr. Mrutunjay Dash Dr. Susruta DasOrganising Secretary Organising Secretary

&Organising Team

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REGISTRATION FORMIAP East Zone Pedicon & Odisha Pedicon 2019

Date : Venue :Org. by : th th16 & 17 November 2019, Puri

IAP, Odisha State Branch

Secretariat : Org. Secretary, IAP East Zone Pedicon 2019 3rd Floor, IMA-IAP House, Behind Capital Hospital,

Unit-VI, Bhubaneswar – 751001, OdishaMobile : 9437163601, 9937747004, 9237014514

E-mail : iapodisha@gmail.com, eastzonepedicon2019@gmail.comWebsite : www.iaporissa.org

Early Bird Registration Fees: Rs 2500/-*Delegate Fees: Rs. ………………............... Accompanying Delegate, Fees: Rs. ……………………….......

Accommodation: Rs. ………………….......… Total: Rs. ………………………………………….……………....

Mode of Payment:

D.D. / Cheque should be in favour of IAP, Orissa State Branch and Payable at Bhubaneswar

SBI Bank A/C Details : Savings A/c No – 30017439559, IFSC Code; SBIN 0004414, SBI, Fortune Towers

Branch, Chandrasekharpur, Bhubaneswar.

D.D. / Cheque No. …………………. Date ………………… Bank ……………………………….……………….....

(Signature of Delegate)

*Certificate from HOD required to be attached with this form in case of PG Students.

Receipt No. …………………………. Date ………………………………

IAP, Membership No. …………………………....……. *PG Student Non IAP Member

Name :………………………………………………………………………………………..………………………...

Hospital / Institute :…….…………………………………………………………………………..………...….….

Designation :……………………….……………………………………….…….………………………………..…..

Mailing Address :………………………………………………………………………………..………….…………..

City :………………………………………………..…………P.O./P.S L………….……………………..…….……

District :………………………………………..... Sate :……………………………… Pin Code :……………….....

Phone (STD Code) ..............................(R) ………………………….……… (O)………………………….………

Mobile :…………………………………… E-mail Id :………………..………………………………………….…….

Accompanying Delegate Names 1. ………………………………………….........................……….……..….

2. ………………………………………………………..……………………..

OFFICE BEARER OF IAP ODISHA STATE BRANCH

PresidentDr Chintamani Panda

President Elect. Dr. Saroj Kumar Tiady

Imm. Past President Dr. Binod Ku. Mishra

Vice-PresidentDr. Susruta Das

SecretaryDr. Prasant Ku. Saboth

Joint SecretaryDr Nabakishore Pradhan

EB Member C-IAPDr Asutosh Mahapatra

Election Officer, & EditorDr Gopabandhu Nanda

TreasurerDr Mrutunjay Dash

EB Members - IAP Odisha State Branch

Dr. Nilakantha Sahoo Dr Durga Prasad Panda Dr Tushar Nanda Dr Sashikanta Sethi