26th ea t zone &iaporissa.org/notice/east-zone-pedicon-2019.pdfdear colleagues, it gives great...
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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
®
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
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