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VOICECON-2011
3 days Conference on
“Evaluation and Management of Voice Disorders with
Hands on Laryngeal Laser Surgery and Cadaver Thyroplasty”
18, 19 & 20th November 2011, Pune , India

Kindly enroll me for :

Only Hands on training (18 Nov) (Limited Seats)
Whole Course (18 , 19 & 20 Nov)
Whole Course without hands on training (19 & 20 Nov)
Name: Age:
Sex:
Qualification:
Designation:
Address
Phone (STDCode)
 Mobile
 Email

I enclose Demand Draft No. for Rs.

US $ on bank Branch

in favour of ' Deenanath Mangeshkar Hospital & Research Centre ' payable at Pune, India.

Course Fees : ( PG Students should enclose Certificate from the Department Head )

Course Delegates IVA Member

P.G. Students

Only Hands on Training
18th Nov.

Rs. 4500/-
USD $200

Rs.4000/-
USD $175

Rs. 3500/-
USD $150
Whole Course
18 , 19 & 20th Nov.

Rs. 6500/-
USD $300

Rs. 5500/-
USD $250

Rs. 4500/-
USD $200
Course Without
hands on TRAINING
th th 19 & 20 Nov.

Rs. 2500/-
USD $100

Rs. 2000
USD $75

Rs. 1700
USD $60

Note: (PG Students should enclose Certificate from the Department Head)

Please send with form to :

Dr. Sachin Gandhi
Course Director – Voicecon 2010
Director, Dept of Laryngology
Deenanath Mangeshkar Hospital & Research Centre
Erandwane, Pune - 411004.

Ph - 020 66023511 9595123008
Email - voiceclinic@gmail.com voicelaser@dmhospital.org

FOR MORE INFORMATION - www.voicelaser.com www.voiceairwaylasercourse.com