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3rd ORP 2012 - Tata Memorial Centre

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REGISTRATION FORMRegistration form (To be filled in Capital Letters)(Tick the Appropriate Boxes)Name:..............................................................................................Age: .................................................................................................Qualification: c MD c MS c DNB c OtherDesignation: ...................................................................................Post graduate student* (A letter of certification from HOD isessential) c MD c DNBSpecialty: c Orthopedics c Pathology c RadiologyHospital/Institute : ..........................................................................MCI/State Registration No:..............................................................Address for correspondence : .........................................................Telephone / Cell No : ......................................................................Email :..............................................................................................Demand Draft/cheque number: Date: / /<strong>2012</strong>............................................... .........................................................Name of the Bank:...........................................................................Registration charges: (Paid Rs/-): ....................................................A multidisciplinaryOrthopedicOncologyMeeting onSunday, 14th October <strong>2012</strong>CategoryPostgraduateStudent*stUp to 21September <strong>2012</strong>22 nd Sept-5th Oct<strong>2012</strong>th6 October Onwards :Spot RegistrationRs 500 Rs 800 Rs 1000Other Delegates Rs 1000 Rs 1200 Rs 1500Registration fee includes Lunch and Tea.Registration fee is non-refundable/non-transferable.Demand Draft should be drawn in favour of :<strong>Tata</strong> <strong>Memorial</strong> Hospital-BSO-<strong>ORP</strong> <strong>2012</strong>, payable at Mumbai.Cheques from local banks (Mumbai) and cash are also acceptable.Two MMC credit hours have been granted.Receipts of payment will be issued at the end of the conferenceand the certificates will be posted after the conference.Delegates should make their own arrangements for stay.All future correspondences will be through SMS and Email.Complete registration form with cheque / Demand Draft to bemailed to:Ms. Meenakshi,Conference co-ordinator, Clinical research secretariat(CRS),<strong>3rd</strong> floor, Main Building, <strong>Tata</strong> <strong>Memorial</strong> Hospital, Parel, Mumbai,400 012. Tel. +91 22 24177000, Ext. 4254 Fax.: +91 22 24168604Contact :Ms. Meenakshi,Conference co-ordinator, Clinical research secretariat(CRS),<strong>3rd</strong> floor, Main Building, <strong>Tata</strong> <strong>Memorial</strong> Hospital, Parel,Mumbai, 400 012. Tel. +91 22 24177000, Ext. 4254Fax.: +91 22 24168604VenueProf R D Choksi Auditorium<strong>Tata</strong> <strong>Memorial</strong> Hospital, MumbaiOrganized by<strong>Tata</strong> <strong>Memorial</strong> Hospital (TMH)3 rd <strong>ORP</strong> meeting


Invitation:Dear Colleagues,We are pleased to announce a multidisciplinary OrthopedicOncology Meeting on Sunday, 14th October <strong>2012</strong>. Twoeminent speakers, Professor K. Krishnan Unni and ProfessorFranklin H. Sim will deliver lectures on Diagnosis andManagement of Bone tumors.Professor K. Krishnan Unni,Professor Franklin H Sim,<strong>ORP</strong> Faculty:OrthopedicsManish Agarwal, Hinduja Hospital , MumbaiChetan Anchan, Bombay HospitalAshish Gulia, TMH, MumbaiYogesh Panchwagh, D. Mangeshkar Hospital, PuneAjay Puri, TMH, MumbaiMandeep Shah, GCRI, AhmedabadSubin Sugath, RCC, ThiruvanathpuramTimeProgramme:Topic / Speaker8.30-9.15 AM Registration9.15-9.45 AM Simulators of Bone TumorsProf. K. Krishnan Unni9.45-10.15 AM Reconstruction Optionsfor Benign Bone TumorsProf. Franklin H. SimPathologist, WheatonFranciscan Healthcare-Elmbrook <strong>Memorial</strong>,WI, USA.This will be accompanied with Case-based discussions byOrthopedic Surgeons, Radiologists and Pathologists (<strong>ORP</strong>),emphasizing the value of correlation of clinical findings,imaging and histopathological findings.Maharashtra Medical Council (MMC) has granted two credithours for the delegatesPatron: Dr Rajendra Badwe, Director TMCChairpersons: Dr Ajay Puri, Dr Nirmala JambhekarOrganizing Secretaries:Professor Orthopedics,Mayo Clinic, Rochester,USA.ŸDr Bharat Rekhi. Tel: 24177000 (Extn: 7269).Mobile: 9323232359. Email: rekhi.bharat@gmail.comŸDr Ashish Gulia. Tel: 24177000 (Extn: 7184).Mobile : 9920971930. Email: draashish15@yahoo.co.inŸDr Saral Desai. Tel: 24177000 (Extn: 7260).Tel: Mobile: 9619209992. Email: saraldesai@gmail.comŸDr Subhash Desai. Tel: 24177000 (Extn: 7166).Email: xraydesai@gmail.comRadiologySubhash Desai, TMH, MumbaiSunita Dhanda, TMH, MumbaiBhavin Jankharia, Jankharia Imaging, Mumbai,Shashi Juvekar, TMH, MumbaiPathologyRamesh Deshpande, Hinduja Hospital , MumbaiSaral Desai, TMH, MumbaiNirmala Jambhekar, TMH, MumbaiSujit Joshi, D. Mangeshkar Hospital, PuneBharat Rekhi, TMH, Mumbai10.15- 10.45 AM TEA BREAK10.45-11.15 AM An Approach to theDiagnosis of ChondroidTumors11.15-11.45 AM Reconstructionafter Pelvic Resections11.45-1.15 AM <strong>ORP</strong> Case Discussion<strong>ORP</strong> Faculty1.15 -2.00 PM LUNCHProf. K. Krishnan UnniProf. Franklin H. Sim2.00-4.00 PM <strong>ORP</strong> Case Discussion<strong>ORP</strong> Faculty

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