50 years of Down syndrome

Cytogenetics, Clinical Management and New Research

November 12 - 14, 2010

Registration Form

Name: Designation:

Institution:

Phone: Mobile:

Fax: Email id:

Number of days attending:

Accommodation in and around the conference venue would be made available (twin and
triple sharing) on first come first served basis.

Students: ` 100 per day

Others: ` 250 per day
Date of Arrival:

Date of Departure:

Registration Fee: Demand Draft should be in favor of “Centre for Human Genetics, Bangalore”

Postgraduate students ` 500/-

Research Scholars/ Postgraduates from Medical Colleges ` 1000/-
Others ` 2000/-

Payment Details: DD number:…………………………… Dated:……………………………

Issued bank:………………………………………………………………...

For further information and registration contact:

Centre for Human Genetics
Biotech Park (Next to Arvind mills)
Electronic City Phase I, Bangalore 560 100
Email: jayaram@ibab.ac.in, mbhat@ibab.ac.in, chgenetics@gmail.com
Phone: +91-80-28521833