Tata Memorial Centre Mumbai Meeting Coordinators Patron Dr.R A Badwe, Director, TMC Organizes Fourth CME for Medical Laboratory Technologists Date: 20th & 21st December 2014 Chairpersons Dr.Subramanian PG Dr.Sumeet Gujral Organizing Secretaries Ms.Deepti Karkhanis & Mr.Shashikant Mahadik Team Faculty, Residents and Staff, Hematopathology Laboratory, Departments of Biochemistry and Microbiology. Venue Choksi Auditorium, Golden Jubilee Building, Tata Memorial Hospital, Parel, Mumbai, India. Best five posters will be awarded Website: tmh.gov.in http://tmc.gov.in/newsnevents/CME% 20on%20Histotechnology/finalt% 20flier%20Tech%20CME%202012.pdf Address for correspondence Dr.Sumeet Gujral, Annexe Building,727, Hematopathology Laboratory Tata Memorial Hospital, Parel, Mumbai- 12, India. Email: [email protected] [email protected] Tele: 022-24177000, extensions: 4367, 4362 Eligibility Criteria Medical Laboratory Technologists / Technicians / MLT Students Registration details Registration fee : Rs 1000/Spot registration fee: Rs. 1500/Demand draft should be drawn in favor of “Tata Memorial Hospital” payable at Mumbai. Abstract details Last date of accepting abstract for poster presentation: 30th November 2014. Abstract should not be more than 200 words. Kindly see the abstract submission form. Registration form Name: ……………………………………………………………………………………………………………….. First name Middle name Last name Name as it should appear on certificate……………………………………………………………………………………………………. ……………………………………………………………………………………………………………………. Age: ……… Gender: M/F Address for Correspondence: Address of laboratory/ Institute: Qualification: ………………………… Present Designation: ………………………………. Years of experience: ……………….. Areas of interest: Hematology pathology , Histopathology , Microbiology Immunopathology , Biochemistry , Clinical , Others Contact number: (compulsory): ………………………… E mail …………………………………………………………………… Abstract submitted: Yes Demand Draft Details: No Demand draft Number ………………………… Bank Name ………………………………… Amount (Rs): ………………………… Dated: …………………………… Note: Write your name and contact number at the back of the DD/ Cheque Abstract Submission Form (Page 1) Fourth CME for Medical Laboratory Technologists, 20-21 December 2014 TMC, Mumbai. Mr./ Ms. First Name Middle Name Last Name Designation: Speciality: Hematology Biochemistry Clinical pathology Paramedical Microbiology Immunology Please specify Institute: Address for Correspondance: City: State: Telephone : Zip Code: Mobile: Email(1) : Email(2) : Important: Copy of abstract should be sent by email on following addresses: [email protected] Country: Fax: Abstract Submission Form (Page 2) Word count (not more than 200 words): Abstract title: Authors & Affiliations: Introduction Material & Methods Results Conclusions Keywords:
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