Organised By:- Dept. of Geriatric Medicine, Medical College Kota & IAG Kota Chapter
(PLEASE FILL IN UPPER CASE)
(Please write your name in capital letter as it will be printed in your certificate and badge)
Accompanying person Name
Note- 1. PG Student must Secure attestation from H.O.D 2. Spouse/Children(Above 10 years) Registration is Mandatory
1. Special Offer Delegates ≥ 65 Year - 1000 Less In Registration Fee.
2. No Offter On Spot Registration 3. Please Attach Valid Age Proof.
Sr. Prof. Medicine & HOD Geriatric Medicine
Address:- 4-B-14 Talwandi, Kota Raj. - 324005
Phone (India) : +91-9414188400
E-Mail (India) : firstname.lastname@example.org
Mr. Ashish Bansal
Phone:- 7300436328, 8385931086
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