JSKC 2020 Registration Form

4th Annual Jaipur Shoulder Knee Course
*** Registration Form***

Conference: 3rd, 4th & 5th April, 2020 || Cadaver Hands-on Workshop : 5th April, 2020
Title*

ProfDrDr (Mrs.)
Category*

ConsultantPG StudentForeign Delegate
Name*

First NameLast Name
Address*

Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Designation*
Current Designation / Post
Institution*
Hospital / Organization
Mobile*
E-Mail*
Wish to attend Cadaver Hands-on Workshop (5th April, 2020)?*

YesNo
Any Accompanying Person ?*

YesNo
If yes, please details (Name, Age, Relation)
Accompanying Person Details
Registration Category*

ResidentialNon-Residential

NON-RESIDENTIAL REGISTRATION FEES (Till 31st December, 2019)

Cadaver Hands-on Workshop

(5th April, 2020)

Main Conference

(3rd to 5th April, 2020)

Rs. 15,000/-

Consultant : Rs. 6500/-

PG Student : Rs. 4000/-

Foreign Delegate : USD 100

Accompanying Person : Rs. 4000/-

FOR RESIDENTIAL PACKAGE - PLEASE CHECK WEBSITE

4th Annual Jaipur Shoulder Knee Course