INVITATION EVENT OUTLINE SCIENTIFIC PROGRAM REGISTRATION FEE 50 SPECIAL TRAVEL BURSARIES REGISTRATION FORM SPONSORSHIP ADVISORS TOURS & ACCOMODATION IRACON 2008 HOME	Fields marked with * are compulsory. REGISTRATION FORM BJD INDIA CONVENTION 29th - 30th November 2008 (PLEASE USE CAPITAL LETTERS) Prof.             Dr.            Mr.             Mrs.             Ms. Family Name : * First Name : * Qualification : Occupation : Address Line 1 : Line 2 : Line 3 : Village /Taluka : Town/City : State : Country : Pin : Telephone : Email : Mobile No. : Cheque / DD Number : Drawn on (Bank)   Demand Draft should be made in favour of IRA - BJD CONFERENCE 2008 Payable at PUNE. & to be sent to CONFERENCE SECRETARIAT : Center for Rheumatic Diseases-Hermes Doctor House, HERMES ELEGANCE, 1998 CONVENT STREET, CAMP, PUNE 411001 INDIA   Further Information Are you a BJD : India - NAN Member ? NO        YES        If Yes, Membership No. : 1. Do you need accommodation? YES        NO 2. Do you need travel booking? YES        NO 3. Would you be accompanied? YES        NO If yes, (number) persons. 4. If your answer is Yes to the above, our official travel agent will contact you as soon as possible. Any other information :   NOTE : (1) All attendees (including accompanying person) to the convention must register. Children will not be allowed to attend the scientific meetings but may attend social events (coupons may be purchased for banquet). (2) This registration is provisional till your draft / cheque / payment is received at conference secretariat (see above address). Confirmation will be sent to you. (3) As a BJD India convention delegate, you may attend an IRACON 2008 workshop by completing the IRACON 2008 registration form at www.rheumatologyindia.org and paying the workshop fee contained therein. Delegates registering for IRACON 2008 will be permitted to attend BJD Convention without additional fees.