Important instructions



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Conference on Magnetic Resonance in Medicine & 25th NMRS Meeting

February 13-16, 2019

Venue: Auditorium, Indian National Science Academy (INSA)

Bahadur Shah Zafar Marg (Near ITO), New Delhi – 110 002
Organised by

Department of NMR, AIIMS, New Delhi
IMPORTANT INSTRUCTIONS:


  • Please fill out this form and email the PDF/Word file to nmrs2019aiims@gmail.com (signature not required if the applicant sends from her/his email id); OR by post to Local Organising Committee, Room No. 4, Department of NMR & MRI Facility, AIIMS, New Delhi – 110029.




  • A few travel awards are available for students not receiving any stipend/fellowship. The students need to submit Curriculum Vitae, Signed Registration form along with a Verification letter from their Guide/ Supervisor (in Letter head of Guide/Supervisor).




  • The subject line of email should be “Registration: ”.




  • BEFORE you fill out this form,

    • you will need to pay the registration fee (with or without accommodation) by online/wire-transfer to the conference account by DD/Multicity cheque in the name of “CMRM 2019”, payable at SBI, Ansari Nagar, New Delhi or by bank transfer to Conference account: Name: CMRM 2019; Account No. 37843039480; IFSC Code SBIN0001536

    • Those sending payment online need to send the reference number (UTR) and date of transaction by email)

    • Registration without Accommodation:

    • Rs. 3,000/- for students and post-doctoral researchers;

    • Rs. 7,500/- for Scientists/ Faculty/ Academicians;

    • Rs. 8,500/- for Industry participants,

    • Registration with Accommodation:

    • Rs. 6,000/- for students and post-doctoral researchers;

    • Rs. 12,500/- for Scientists/ Faculty/ Academicians;



  • Key dates:

    • Registration (with Accommodation): 30th November, 2018

    • Registration (without Accommodation): 10th January, 2019


Registration form

Conference on Magnetic Resonance in Medicine & 25th NMRS Meeting

February 13-16, 2019

Venue: Auditorium, Indian National Science Academy (INSA)

Bahadur Shah Zafar Marg (Near ITO), New Delhi – 110 002

Organised by

Department of NMR, AIIMS, New Delhi


Your Name




Gender




Your email id




Your mobile/cell number (with country code)




Name of your university/ institute/ organization/ college/ company




Complete address (affiliation address with postal code and country)




Designation




If student/ postdoctoral fellow, write the name of your Supervisor/ Advisor/guide




Are you from a private company? (Yes / No)




Are you presenting your work?

(Yes / No)




Do you need accommodation? (Yes / No); If yes, transfer the total amount corresponding to registration & accommodation.




Amount transferred




Reference number of electronic transfer/ NEFT/ RTGS/ wire-transfer with bank name, branch name, city, and country





Place: Signature:

Date:
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