REGISTRATION FOR THE ICGCW2018
Workshop 3rd -7th Dec 2018, Conference 8th -10th December 2018

Registration Fee (in Rupees)
(Includes 18% GST)

Up to 7th Nov. 2018

8th - 30th Nov. 2018

Spot Registration

Student

Academia

Industry/ Private Sector

Student

Academia

Industry/ Private Sector

Academia

Industry/ Private Sector

Full Conference

*2625

3500

7000

*3000

4000

8000

5000

8000

One day conference or One day MRI workshop

*1500

2000

4000

*1875

2500

5000

3000

5000

Conference with Workshop I, II or IV

*5625

7500

12000

*6375

8500

14000

No Spot Registration

No Spot Registration

Conference with Workshop III (NGS)

*15000

20000

25000

*17250

23000

28000

No Spot Registration

No Spot Registration

  *25% concession for PhD Students, Project JRF/SRF & Resident doctors on guide’s recommendation
Payment can be made by Bank Drafts, Debit /Credit Cards or Electronic Transfer.
If any problem in booking accomodation, please inform us at icgcw2018@gmail.com
 
All the fields are mandatory (Please fill in capital letters)
Designation
Prof. Dr. Mr. Mrs. Ms.
Name (as should appear on Badge and Certificate)
Organization/Institute
Address
Town/City
State
Pin Code
Mobile No.
Email
Participation as
Delegate (Industry/ Private Sector)
Delegates (Academia/Other centres)
Student/Resident Doctors (with Guide's recommendation)
Participation in
Full Conference (8th 10th December 2018)
One day Conference or One day MRI workshop (8th December 2018)
Conference with workshop I, II or IV (3rd 10th December 2018)
Conference with workshop III (NGS) (3rd 10th December 2018)
Workshop No
Workshop I - Cancer Genetics Counselling
Workshop II - Molecular Genetic analysis & functional Genomics
Workshop III - Next Generation Sequencing
Workshop IV - One day Breast MRI workshop
Payment amount
Payment Mode
DD
DD No.                    

Bank Transfer
Name of Bank
Name of Branch
Account No.
Date of transaction:
UTR No.
        
Payment mode & details: The registration fees can be paid by Demand Draft OR by Online Bank Transfer, details for which are:

1) DD in favour of  : Director, ACTREC - Tata Memorial Centre
  
   With a covering letter, send the Demand Draft by courier to :
   Dr Poonam Gera
   KS139, ACTREC, TATA Memorial Centre, Sector 22, Kharghar, Navi Mumbai 410210

OR

2) Direct Bank transfer
   Account Name: Tata Memorial Centre
   Bank Name:Central Bank of India
   Branch Name:Kharghar Branch
   Bank Account No.:1797305746
   Branch Code.:4047
   RTGS/IFSC Code: CBIN0284047
   SWIFT Code: CBININBB05B
   9 Digit MICR Code: 400016114
     
Tata Memorial Centre,
Advanced Centre for Treatment, Research and Education in Cancer,
Kharghar, Navi Mumbai - 410 210, INDIA.