the Conference Brochure and Registration Form

Transcription

the Conference Brochure and Registration Form
“GLAUCOMA CONNECT”
XXV Silver Jubilee Annual Conference of the
GLAUCOMA SOCIETY OF INDIA
Under the aegis of
Bombay Ophthalmologists’ Association
&
Maharashtra Ophthalmological Society
October 2nd - 4th, 2015
This programme may carry credit hours from Maharashtra Medical Council
ITC Maratha
Sahar Airport Road, Andheri East, Mumbai 400099
Hilton Hotel
Sahar Airport Road, Andheri East, Mumbai 400099
Dear Colleague,
It gives us immense pleasure to invite you to attend the 25th Annual Conference of Glaucoma Society of India which is
scheduled to be held in Mumbai at ITC Maratha and Hilton, from 2nd to 4th October 2015. This mega event is going to be
called GLAUCOMA CONNECT.
A turnout of almost 1400-1500 ophthalmologists is expected to attend this special conference. In addition to a well-defined
and relevant scientific program, twenty five glaucoma experts from abroad are invited to grace the occasion to ensure that
you will be treated to the best of talks and lectures.
We are working towards making this conference a very memorable experience for you, with a superb scientific program
spread over three days, as it is a Silver Jubilee Conference. The scientific program highlights will include
•
3 Special Silver Jubilee plenary sessions.
•
Upcoming Science and Technology in the Specialization of Glaucoma.
•
Diagnostic Angle Closure Disease, Medical and Surgical Management in Glaucoma, Lasers in Glaucoma
•
Sessions on Future Technologies in Glaucoma.
•
Sessions on Practice in Glaucoma.
•
Happening Things in Glaucoma.
•
Sessions on Management of Complications of Secondary Glaucoma,
•
Sessions on Research Methodology
•
Sessions on Epidemiology
•
Sessions on Career Building and Overseas Opportunities
•
Pediatric Glaucoma and Lasers in Glaucoma.
•
Specialised session on Trabeculectomy.
•
Celebrating half century in Trabeculectomy.
•
Skill Transfer
•
Interactive Sessions
Early risers will have the option of being treated to a special meeting with the Masters in Glaucoma. There will be an array of
things to choose from, like instruction courses, interactive sessions. Also, keeping in with the trend of non scientific, but
extremely relevant in character, topics like Research Methodology, Career Building and Overseas Opportunities, Practice
Building, Progression, Epidemiology have been arranged.
This programme may carry credit hours from Maharashtra Medical Council
Dr. Viney Nangia
Dr. Prateep Vyas
Dr. Manish Shah Dr. Barun K. Nayak
Glaucoma Society of India :
Dr. Viney Nangia - President
Dr. Prateep Vyas - Secretary
Dr. Manish Shah - Treasurer
GIEP Council :
Dr Aditya Agrawal - Central
Dr T Raveendra - South
Dr Sunil Jain - West
Dr Surojit Chakraborty - East
Dr Deven Tuli - North
Zonal Members:
Dr Kirti Singh - North Zone
Dr B K Nayak - West Zone
Dr George Puthuran - South Zone
Dr Dipanjan Paul - East Zone
Bombay Ophthalmologists’ Association :
Dr Vijay Bhatt - President
Dr Anis Bhavnagarwala - Secretary
Maharashtra Ophthalmological Society :
Dr Jeevan Ladi - President
Dr Preetam Samant - Secretary
Dr. Sunil S. Jain Dr. Sachin Dharwadkar
Local Organising Committee :
Dr T. P. Lahane - Chairman
Dr Barun Kumar Nayak - Organising Secretary
Dr Sunil S. Jain - Co-Organising Secretary
Dr Sachin Dharwadkar - Treasurer
Dr Anupam Deshpande - Member
Dr Ashwin Sainani - Member
Dr Gagan Singh - Member
Dr Kulin Kothari - Member
Dr N. S. Athanikar - Member
Dr Nitin Deshpande - Member
Dr Priti Kamdar - Member
Dr Ragini Parekh - Member
Dr Rajul parikh - Member
Dr Reshma Jhaveri - Member
Dr Rita Dhamankar - Member
Dr Ruvit Nikam - Member
Dr Sandeep Nagwekar - Member
Dr Shefali Parikh - Member
For Subsidized Accommodation Rates at the venue please write to [email protected]
REGISTRATION FORM
GLAUCOMA CONNECT 2015
Silver Jubilee Conference of Glaucoma Society of India
2ND TO 4TH OCTOBER 2015 : ITC MARATHA / HILTON
NAME :
MEDICAL COUNCIL NO :
NAME OF STATE :
ADDRESS :
CITY :
PINCODE :
STATE :
LANDLINE
CELL
EMAIL ID
CIRCLE THE RELEVANT OPTIONS (ANY 1) & GIVE YOUR MEMBERSHIP NUMBER
GSI MEMBER
Yes
GSI MEMBER
No
MOS MEMBER
Yes
MOS MEMBER
No
BOA MEMBER
Yes
BOA MEMBER
No
Please note that the last date of submission of online abstracts is 30/06/2015
* ST =
Early Bird upto
Regular upto
Service Tax @ 14% 15/06/15 -with ST* 15/09/15 with ST*
Pre –Regn closes
w.e.f 16/09/15
Spot Regn with ST*
(at the venue only)
Encircle the
appropriate charges
and enter here
A
GSI/MOS/
BOA Members
Rs.2900/Rs.3500/(Rs.2544/-+ *Rs.354/-) (Rs.3070/-+ *Rs.430/-)
Rs.4500/(Rs.3947/-+ *Rs.553/-)
Non Members
Rs.3200/Rs.4000/(Rs.2807 + *Rs.393/-) (Rs.3508 + *Rs.492/-)
Rs.5200/(Rs.4561/-+ *Rs.639/-)
PG Students (Cert.
from HOD mandatory
– No Banquet)
Rs.1500/Rs.2000/Rs.2600/(Rs.1315/- + *Rs.185/-) (Rs.1754/- +*Rs.246/-) (Rs.2281/-+ *Rs.319/-)
Reservation Charges for
Accommodation at
the venue
Rs.5000/- Advance.
Balance to be paid to
the Hotel Reception at
Check In
Rs.5000/- Advance.
Balance to be paid to the
Hotel Reception at Check
In
Rs._____________
B
Not Available.
Deduct Rs.200/- if not attending the Banquet.
Rs._____________
DEDUCTION
C
Rs.______________
TOTAL PAYABLE ( A + B) (If attending the Banquet)
Rs.
TOTAL PAYABLE (A + B – C) (If NOT attending the Banquet)
Rs.
The charges mentioned above should be sent in the name of “GLAUCOMA CONNECT 2015”
payable at Mumbai in the form of a Demand Draft or an at par cheque to :
Dr Barun Kumar Nayak, Organizing Secretary – Glaucoma Connect 2015
PD Hinduja National Hospital & MRC, Veer Savarkar Marg, Mahim, Mumbai 400016.
Accommodation : We have arrangements for
accommodation at highly subsidized rates at
the venue (ITC Maratha /Hilton). For details
regarding the same, please write to
Dr BK Nayak, at [email protected]
(Telephone : 9987315599 / 022-24447165 /
022-24447131)
Total Amount Payable :
Rs.
DD/Cheque No/Cash :
Rs.
Drawn on Bank :
Dated :
For Subsidized Accommodation Rates at the venue please write to [email protected]
List of Faculty.
OVERSEAS FACULTY :
Dr Aung Tin
Dr Betsy Sleath
Dr Chris Johnson
Dr Arun Narayansamy
Dr Arvind Neel
Dr Chris Leung
Dr L Vijay
Dr Ravi Thomas
Dr Sanjay Asrani
Dr Vineet Ratra
Dr Jack Cioffi
Dr Lee Alward
Dr Mark Sherwood
Dr Mingguang He
Dr Paul Lee
Prof Alan Robin
Prof Jonas Jost
Prof Makato Araie
Prof Paul Palmberg
Dr. Ramesh Ayyala
Dr Suman Thapa
NATIONAL FACULTY :
Dr Amit Porwal
Dr Amit Solanki
Dr Ashish Thool
Dr Aditya Neog
Dr Anil Mandal
Dr Arup Chakraborty
Dr B Shantha
Dr B Shridhar Rao
Dr Chandrima Paul
Dr Devendra Sood
Dr G Chandrasekhar
Dr Gowri Murthy
Dr Harsh Kumar
Dr Harsha Rao
Dr J C Das
Dr Krishnadas
Dr Madhu Bhadhuria
Dr Maneesh Singh
Dr Mayuri Khamar
Dr Murali Ariga
Dr P Sathyen
Dr Prafful Sharma
Dr Rajul Parikh
Dr Ramakrishna
Dr Rita Dhamankar
Dr Ronnie George
Dr S S Pandav
Dr Sathi Devi
Dr Shefali Parikh
Dr Shirish Nelivigi
Dr Sirisha Senthil
Dr Suneeta Dubey
Dr Sushmita Kaushik
Dr Tanuj Dada
Dr Venkatesh
Dr Viney Gupta
Dr Vinita Ray Pathak
Dr. Aditya Agarwal
Dr. Manish Shah
Dr. Prateep Vyas
Dr. Deven Tuli
Dr. Surojit Chakraborty
Dr Gursatinder Singh
Dr JKS Parihar
Dr Kalyani Prasad
Dr Krishna Prasad
Dr Manavdeep Singh
Dr Mani Bhaskaran
Dr Manju
Dr Mariam Mansoori
Dr Medha Prabhudesai
Dr Monica Gandhi
Dr Parag Sharma
Dr Parul Ichhpujani
Prof Ramanjit Sihota
Dr Rajesh Kumar
Dr Reena Chowdhary
Dr Roopali Nerlekar
Dr Sagarika Patyal
Dr Shalini Mohan
Dr Shilpa Patil
Dr Sibhal Bhartiya
Dr Subhobrata Chakraborty
Dr Sumeet choudhary
Dr Sunil Gupta
Dr Sunil Jain
Dr Suresh Gupta
Dr T. Raveendra
Dr Tabassum Mansoori
Dr Tanuja Kate
Prof U S Tiwari
Dr Viney Nangia
Dr Vinita Ramnani
For Subsidized Accommodation Rates at the venue please write to [email protected]