1 Annual Conference of Pak Association for Dental Research (IADR Pakistan Section)

1st Annual Conference of Pak Association for
Dental Research (IADR Pakistan Section)
[25-26 October 2014]
“Translating Research Evidence into Dental Practice”
WORKSHOPS REGISTRATION FORM
[24 & 27 October 2014]
*Name:
*Affiliation (Institution Name for Students):
Designation:
Address:
Tel (Mobile):
*Email:
*IADR Membership Number:
Please tick (For Students Only):
Undergraduate Student
*Name and Signature of Principal/Dean/HoD:
Postgraduate Student
(For Students)
*Required Information
Please tick to indicate which workshop(s) you would like to attend:
24th October 2014:
Registration Fee
1. Advance Biostatistics, Project and Scientific Writing Skills
2. Advance Restorative Techniques (Style Italiano)
Rs. 2000/Rs. 2000/- (Lecture Only)
Rs. 5000/- (Lecture + Hands-on)
3. Orthodontic Diagnosis & Treatment Planning
Rs. 3000/-
27th October 2014:
4. Head & Neck Pathology (Diagnostic and Case Studies)
Rs. 2000/-
 Limited Seats are Available for all Workshops
 This form must be returned to Conference Secretariat* to ensure your participation in the Program
 Please bring your original receipt on Workshop day
Registration Fee can be paid by Cash only, Please contact:
Dr. Arshad Hasan (Dow Dental College, Karachi)
Tel: +92(0) 3212437304
Email: [email protected]
Dr. Abdul Samad Khan (IRCBM, CIIT Lahore)
Tel: +92(0)3325426230
Email: [email protected]
Signature_______________________________________
Dr. Nadia Naseem (UHS, Lahore)
Tel: +92(0) 3009477712
Email: [email protected]
Dr. Saad Asad (UCMD,UOL)
Tel: +92(0) 3004079491
Email: [email protected]
Date_________________________________
*Conference Secretariat: Interdisciplinary Research Centre in Biomedical Materials, COMSATS Institute of Information
Technology, Defence Road, Off Raiwind Road, Lahore, Pakistan Tel: +92(0)3325426230 Email: [email protected]