registration form organising committee · 16. dr. ansu rathi chandak 17. dr. ranjan patel 18. dr....

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Registration Form FOR NATIONAL CME th Last Date 7 April 2017 Name.............................................................................................................. College Name ............................................................................................... Age/Sex.....................................Designation.................................................. Address.......................................................................................................... ....................................................................................................................... Pin Code ................................... Phone No .................................................. Mob. No.......................................................................................................... e-mail ............................................................................................................ Delegation – for CME Faculty U.G./ P.G. Free Poster Presentation Free Paper Presentation Registration Fees For CME th On or before 7 April, 2017 RS. 500/- For Students RS. 400/- Spot Registration For Students RS. 500/- Spot Registration For Other RS. 600/- Eligibility: For National CME-under graduate / Post graduate students (MBBS/MD/MS/Faculty/ Practitioners/Research Scholars/ PG Students/ Biotechnology/ Life Science/ Allied Discipline) Organising Committee Patron-in-Chief Dr.(Mrs.) Chhaya Banarjee, Dean, RIMS Patron Dr. P. Sudhir Babu, Additional Dean, RIMS Dr. A. Vijayalakshmi, Vice Dean, RIMS Chairperson Dr. S.K. Mudgal, Medical Superintendent, RIMS Organising Secretary Dr. Bichitrananda Roul, Joint Organising Convenor Dr. Sunil Kumar Dr. Swati Hiwale Treasurer Dr. Santosh Kumar D. Bhise Dr. Mukesh Pandey,Dr. Shefali Agrawal Scientific Committee Dr. Prasenjit Bose Dr. Santosh Kumar D. Bhise Dr. Shreyasi Vaksh Dr. Debapriya Rath Dr. Shefali Agrawal Food & Transport Committee Dr. Prashant N. Munjamkar Dr. Prasenjit Bose Dr. Tirthankar Ghosh Dr. Rajesh Ramteke Dr. Palash Saxena Dr. Swapnil Dongre Registration & Reception Committee Dr. Prashant N. Munjamkar, Dr. Shefali Agrawal Dr. Pooja Nagpure, Miss. Reecha Prangyada Joshi Inauguration Committee Dr. Reena Giri, Dr. Rajeev Patel Dr. Pooja Pradhan, Mr. Apurva Jha Printing Incharge Dr. Prasenjit Bose, Dr. Palash Saxena Mr. Bhuvneshwar Yadav Mr. Yugantar Advisory Committee 1. Dr. Shree Ranjan Bajpai 2. Dr. Brajendra Kumar 3. Dr. Navinchandra M. Kaore 4. Dr. Anil Dubey 5. Dr. M.D. Javed Akhtar 6. Dr. Gambheer Singh 7. Dr. Shilpa N. Kaore 8 Dr. Shailendra Tamaskar 9. Dr. Debapriya Rath 10. Dr. S. P. Singh 11. Dr. B.K. Gahlot 12. Dr. Swati Tamaskar 13. Dr. Anooprekha Mudgal 14. Dr. Neerja Agarawal 15. Dr. Roshan Bhaisare 16. Dr. Ansu Rathi Chandak 17. Dr. Ranjan Patel 18. Dr. Neha Mall 19. Dr. Abhishek Agrawal 20. Dr. Mithun Dutta National CME On STEM CELL & IT’S APPLICATION On th 12 April, 2017 Health for all Department of Anatomy Raipur Institute of Medical Sciences Campus : Bhansoj Road,off NH-6, Gram - Godhi, Raipur, (Chhattisgarh), Pin no. - 492101 Email ID – [email protected] Email ID – [email protected] website – www.rimsindia.ac.in Organised By

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Page 1: Registration Form Organising Committee · 16. Dr. Ansu Rathi Chandak 17. Dr. Ranjan Patel 18. Dr. Neha Mall 19. Dr. Abhishek Agrawal 20. Dr. Mithun Dutta National CME On STEM CELL

Registration Form

FOR NATIONAL CME

thLast Date 7 April 2017

Name..............................................................................................................

College Name ...............................................................................................

Age/Sex.....................................Designation..................................................

Address..........................................................................................................

.......................................................................................................................

Pin Code ................................... Phone No ..................................................

Mob. No..........................................................................................................

e-mail ............................................................................................................

Delegation – for CME Faculty U.G./ P.G.

Free Poster Presentation

Free Paper Presentation

Registration Fees

For CME

thOn or before 7 April, 2017 RS. 500/-

For Students RS. 400/-

Spot Registration For Students RS. 500/-

Spot Registration For Other RS. 600/-

Eligibility: For National CME-under graduate / Post graduate students

(MBBS/MD/MS/Faculty/ Practitioners/Research Scholars/ PG Students/

Biotechnology/ Life Science/ Allied Discipline)

Organising Committee

Patron-in-Chief Dr.(Mrs.) Chhaya Banarjee, Dean, RIMS

Patron Dr. P. Sudhir Babu, Additional Dean, RIMS

Dr. A. Vijayalakshmi, Vice Dean, RIMS

Chairperson Dr. S.K. Mudgal, Medical Superintendent, RIMS

Organising Secretary Dr. Bichitrananda Roul,

Joint Organising

Convenor

Dr. Sunil Kumar

Dr. Swati Hiwale

Treasurer Dr. Santosh Kumar D. Bhise

Dr. Mukesh Pandey,Dr. Shefali Agrawal

Scientific Committee Dr. Prasenjit Bose

Dr. Santosh Kumar D. Bhise

Dr. Shreyasi Vaksh

Dr. Debapriya Rath

Dr. Shefali Agrawal

Food & Transport

Committee

Dr. Prashant N. Munjamkar

Dr. Prasenjit Bose

Dr. Tirthankar Ghosh

Dr. Rajesh Ramteke

Dr. Palash SaxenaDr. Swapnil Dongre

Registration & Reception

Committee

Dr. Prashant N. Munjamkar, Dr. Shefali Agrawal

Dr. Pooja Nagpure,

Miss. Reecha Prangyada Joshi

Inauguration Committee Dr. Reena Giri, Dr. Rajeev PatelDr. Pooja Pradhan, Mr. Apurva Jha

Printing Incharge Dr. Prasenjit Bose, Dr. Palash Saxena

Mr. Bhuvneshwar Yadav

Mr. Yugantar

Advisory Committee

1. Dr. Shree Ranjan Bajpai

2. Dr. Brajendra Kumar

3. Dr. Navinchandra M. Kaore

4. Dr. Anil Dubey

5. Dr. M.D. Javed Akhtar

6. Dr. Gambheer Singh

7. Dr. Shilpa N. Kaore

8 Dr. Shailendra Tamaskar

9. Dr. Debapriya Rath

10. Dr. S. P. Singh

11. Dr. B.K. Gahlot

12. Dr. Swati Tamaskar

13. Dr. Anooprekha Mudgal

14. Dr. Neerja Agarawal

15. Dr. Roshan Bhaisare

16. Dr. Ansu Rathi Chandak

17. Dr. Ranjan Patel

18. Dr. Neha Mall

19. Dr. Abhishek Agrawal

20. Dr. Mithun Dutta

National CME

On

STEM CELL & IT’S APPLICATION

On

th12 April, 2017

H e a l t h f o r a l l

Department of Anatomy

Raipur Institute of Medical SciencesCampus : Bhansoj Road,off NH-6, Gram - Godhi,

Raipur, (Chhattisgarh), Pin no. - 492101

Email ID – [email protected]

Email ID – [email protected] website – www.rimsindia.ac.in

Organised By

Page 2: Registration Form Organising Committee · 16. Dr. Ansu Rathi Chandak 17. Dr. Ranjan Patel 18. Dr. Neha Mall 19. Dr. Abhishek Agrawal 20. Dr. Mithun Dutta National CME On STEM CELL

National CME

On

STEM CELL & IT’S APPLICATION

Onth12 April, 2017

H e a l t h f o r a l l

Department of Anatomy

Raipur Institute of Medical SciencesCampus : Bhansoj Road,off NH-6, Gram - Godhi,

Raipur, (Chhattisgarh), Pin no. - 492101

Email ID – [email protected]

Email ID – [email protected] website – www.rimsindia.ac.in

Organised By

TO,

Page 3: Registration Form Organising Committee · 16. Dr. Ansu Rathi Chandak 17. Dr. Ranjan Patel 18. Dr. Neha Mall 19. Dr. Abhishek Agrawal 20. Dr. Mithun Dutta National CME On STEM CELL

To,

Dr. Bichitrananda Roul,

Organising Secretary

CME

Department of Anatomy

Raipur Institute of Medical Sciences,

Godhi, Raipur, (C.G.)

Dear Delegates,

Stem cell are basic cells of all multicellular

organisms having the potency to differentiate into wide range of adult cells. Self

renewal and totipotency are characteristic of stem cells. Though totipotency is

shown by very early embryonic stem cells, the adult stem cells possess

multipotency and differential plasticity which can be exploited for future

generation of therapeutic options.

Organizing Secretary

RAIPURFounded by the kalchury king Ram Chandra of Raipur in the last

thquarter of the 14 Century AD, Raipur is now the capital of Chhattisgarh. It

is the biggest city of the Region and a fast developing important industrial

centre. There are different places to visit in Raipur. In the holy genre, a

couple of famous names are Jagannath Temple, Vallabhacharya Temple,

Mandeval Temple Arang and ISKCON Temple. For a dose of serenity, head

to Vivekanand Sarovar, Urja Park and Nandanvan Gardan. Other spots

such as Shadani Darbar, Rajeev Smriti Van, Nagar Ghadi, and Gandhi

Udyaan also make for fine places to visit in Raipur.

The abstract of 200 words in soft copy typed in window MS – Word, Times

New Roman, Font Size 12 with 1.5 spacing and enough margin ( Top 1.2”,

Right 1.2”, Left 1.2”). Should be submitted at.

E-mail - cmestemcell2017 @ gmail.com

The title should be in capital letters followed by the authors name, affiliation/

institute address, pin code and e-mail ID & contact number. Abstracts

selected for paper & poster presentations will be notified to the respective thcandidates by 8 April, 2017. The poster Size Should be 4 feet length x 3 feet

Width.

Eminent Guest Speakers:

Prof. Dr. P.K. Patra, Director Professor, Pt. J.N.M.M. College Raipur

Dr. (Mrs.) Sunita Patra, Govt. N. P.G. College of Science

Dr. P. Sudhir Babu, RIMS, Raipur

Dr. Dnyanesh Amle, Pt. J.N.M.M. College Raipur

Dr. Eklavya, NIT, Raipur

Dr. Neerja Agarawal, RIMS, Raipur

SUBMISSION OF ABSTRACT FOR PAPER &

POSTER PRESENTATION

09:00 -10:00 AM : Registration & Breakfast

10:00 - 11:00 AM : Inauguration

11:00 - 11:45 NOON : Scientific Session – I

11:45 - 12:00 PM : Tea Break

12:00 - 12:45 PM : Scientific Session – II

12:45 - 01:30 PM : Scientific Session – III

01:30 - 02:15 PM : Lunch cum poster Session

02:15 - 03:00 PM : Scientific Session – IV

03:00 - 04:00 PM : Free paper presentations

04:00 - 04:15 PM : Hi- Tea

04:15 - 05:00 PM : Valedictory & Prize Distribution

PROGRAMME

th12 April, 2017. Venue – Raipur Institute of Medical Sceinces

Bhansoj Road, off NH-6, Gram - Godhi, Raipur, (Chhattisgarh),

Applied for 2 Credit hours by chhattisgarh

Medical Council.

Affix Rs. 5.00Stamps