PUNE EYECON-2019 International Faculty Details National Faculty Details Scientific Program Accommodation Details Pune Eyecon 2018 – Video Contact Us Early Bird Registration Form Name * Address * City * State* Pin * Tel. Clinic Res Mobile No. * Email * MMC Regd No. * Category Early Bird Till 31st Dec 2018 1st Jan 2019 - 28th Feb 2019 1st March 2019 - 31st March 2019 Consultant Rs. 1,000/- Rs. 3,500/- Rs. 4,000/- POS & MOS Members Rs. 500/- Rs. 3,000/- Rs. 3,500/- PG Students Rs. 500/- Rs. 2,000/- Rs. 2,500/- (PG Students Should inclose Certificate or Letter from the HOD) Payment Details DD/ Cheque should be in favour of "M/S National Institute of Ophthalmology, A/C CME Conference" payable at Pune. Please add Rs 100 for outstation cheques – P.G. Students to attach a letter from HOD. Rupee (In word) D. D. /Cheque Date Bank For Online registration :– Click Here Cancellation Policy :- For all requests for cancellation of registration received on or before 15th March 2019, 75% of the registration amount will be refunded one month after the conference. No cancellation requests will be accept there after. 12+48=?