Theme: “Nursing Education and Practice; Local to Global” INTERNATIONAL CONFERENCE 28

Sinhgad Technical Education Society’s
SINHGAD COLLEGE OF NURSING
Narhe, Pune-41
INTERNATIONAL CONFERENCE
28th& 29th January 2016
Theme: “Nursing Education and Practice; Local to Global”
Venue: Auditorium Hall, S.K.N.M.C & GH, Narhe, Pune-41
REGISTRATION FORM
Name: ____________________________________________________________________________________________
Designation/Student: ________________________________________________________________________________
Qualification: ______________________________________________________________________________________
Name of Organization:- ______________________________________________________________________________
Address for communication:
City: _________________________
State: - _________________________________________
Phone no. (Office): _____________________________
Mobile. No: ____________________________
Fax no: _________________________________________
Email Id:_______________________________________________
Mode of Payment: Cash/DD/RTGS: __________________________________________________________________
(RTGS with proper receipt & prior intimation to Registration committee only)
A/C no: 60099851529, Bank of Maharashtra, Branch: Narhe, Pune-41, IFSC code- MAHB0001459, Full Name of the beneficiarySinhgad College of Nursing. (Kindly send the receipt of NEFT/RTGS payment to email: [email protected])
Details of Registration: Fee- Rs._____________ DD no: ___________ Dated: __________ (Drawn on Bank): __________
Alumni Member: Yes/No
Accommodation requirement: Yes/ No (If Yes, contact-Ms.Priyanka Kale: 9175873055)
Note: 2 days and 1 night accommodation charges are ₹ 500
Transport requirement: Yes/ No (If Yes, contact- Mr. Vishwajit Phalke: 8624043195/ 9096777136)
Note: Transport charges to and fro,(Pune station to venue)are ₹ 100
Food preference: Vegetarian/ Non-vegetarian
Registration fees details:
BEFORE 1ST JANUARY 2016
S.No
CATEGORY
AMOUNT
1
Faculty
₹ 2500
2
PG students
₹2000
3
UG students
₹ 1500
4
Alumni
₹ 1300
5
GNM students
₹1500
AFTER 1ST JANAUARY
AMOUNT
₹2700
₹2200
₹1700
₹ 1500
₹1700
SPOT REGISTRATION
AMOUNT
₹3000
₹2500
₹2000
₹1800
₹1800
6
Staff Nurse
₹ 1800
₹2000
₹2300
7
NRI
₹ 8000 (Indian Currency)
₹10000 (Indian Currency)
₹13000 (Indian Currency)
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

Registration fees exclude transportation & accommodation.
Accommodation in campus will be provided on payment on first come first serve basis.
Registration fee is not refundable.
For Registration contact:
Mrs. Suchana Roy Bhowmik: 9890630606, Mrs. Himalini Nimbalkar: 9011044506, Ms. Soniya Shinde: 8605689036
For Further details regarding this conference contact:
Organizing Secretary
Conference Co-ordinator
Mrs. Shilpa Bakal
Mrs. Kalpana Bhandari
(9422323902)
(9860183971)
Visit: www.sinhgad.edu
Phone no- 020-24106142/143/139
Conference Chairperson
Mrs. Jyoti V Naikare