HA

RY

AC

HAPTER

ISAR 2017

OF

AR
IS

AN

SARTH

21- 23 April, 2017

Hyatt | Gurgaon

Registration Form

Download the form on your computer, save it from the bottom right icon, type inside the given boxes &
send it to the Secretariat Address via email or courier with the Cheque / Draft.
st

nd

rd

Main Conference: 21 22 April, 2017

Conference Workshop: 23 April, 2017
Title Prof/ Dr/ Mr/ Ms/ Mrs _____________

ISAR Membership No: ___________

First Name _______________________________________ Last Name_______________________________________________________

Correspondence Address ___________________________________________________________________________________

City ________________________________ State ____________________________ Pin Code _____________________________
Tel/Mobile ________________________________________ Email ____________________________________________________
(All the above ields are mandatory)

Registration Category (Please Tick as Applicable)

Registration Fees
On Spot
Registration

Regular Registration
Till 25 December 2016

Regular Registration
Till 10 February 2017

ISAR Member Clinicians

INR 8000

INR 9000

INR 11000

ISAR Member Embryologist

INR 7000

INR 8000

INR 10000

Non ISAR Member Clinicians

INR 9000

INR 9500

INR 12000

Non ISAR Member Embryologist

INR 8000

INR 9000

INR 11000

Post Graduate Student

INR 6000

INR 7000

INR 9000

Foreign Delegate

USD 300

USD 325

USD 375

Accompanying Person

INR 5000

INR 7000

INR 9000

Category

Workshops
(Maximum Two Workshops can be taken in a day )

Note: Separate fees is applicable for each workshop as per your category

Morning Workshops (Timing: 8am to 12 Noon)

Workshop Names

Workshop Fees (Limited Seats)

March to Perfection: Complete Hands on in IVF Lab

INR 7000

Master class in Laparoscopy / Hands on Lap endosuturing on endotrainers

INR 7000

Ultrasound in Infertility

INR 3500

Data Management & Quality Control In IVF Labs

INR 3500

Evening Workshops (Timing: 2pm to 6 pm)

Workshop Fees (Limited Seats)

Workshop Names
Hands On: Vitrication Of Gametes, Embryo & Tissue

INR 7000

Hands On: Hystero-Myomectomy On Hysterotrainer Work Stations

INR 7000

Preimplantation Genetic Diagnosis and Screening - Current Concepts

INR 7000

Train Your Staff In Art For Paramedics

INR 2500

Registration Inclusions
Entry to Scienti ic Halls and Exhibition Area
Conference Kit (Including Bag, Badge, Certi icate, Pad and Pen)

Tea / Coee, Lunch & Dinner during the Conference

On Spot Conference Bag Subject to availability

Mode of Payment
1) Multicity Bank Cheque / Demand Drafts are to be made in favour of: ISAR 2017 payble at Ambala

Draft/Cheque No.....................................

Date....................

Drawn on.................................................

For Amount (INR).......................

2) Kindly log on to the website for online registration www.isar2017.com

Important Notes
For Registration Enquiries Contact Mr. Vikas Sharma (+91-9560493999)
Fill or Download the registration form and send the duly illed form to the Secretariat
address with appropriate payment as per the applicable fee structure. The registration fee
MUST reach before or on the deadline date after which the next slot shall be applicable.

Cancellation Policy
Cancellation must be noti ied in writing to the secretariat by email to: isar2017haryana@gmail.com
The refunds shall be processed directly by Conference Organizer after the Conference
st
Cancellation by 1 Jan 2017 50% Refund.
nd
Cancellation from 2 Jan, 2017 No Refund.

Please send duly illed Registration Form to below mentioned Address

Conference Secretariat
Mr. Vikas Sharma
Conferences International
B-220/2, Second Floor
Opposite Kali Masjid, Savitri Nagar
New Delhi : 110017
M: +91 9560493999
isar2017haryana@gmail.com | www.isar2017.com