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INTERNATIONALSYMPOSIUM ONDIABETES19
18TH - 19TH JANUARY 2020MUMBAI, INDIA
SecretariatJoshi Clinic, 12, Golden Palace, Turner Road, Bandra (W), Mumbai – 400 050. Mobile : +91-9833814819 • email: [email protected] • www.idsi.in
CME CrEdits will bE AwArdEd
19th international SympoSium on
D i a b e t e S18th - 19th January 2020 ▪ Mumbai, INDIA
courSe DirectorS
Prof. K. Sreekumaran NairDavid Murdock Dole Professor of Medicine, Mayo Clinic College of Medicine, Division of Endocrinology, Mayo Clinic, 200 First Street S.W., Rochester, MN 55905 USA
Prof. A.K. DasRetired Dean and Director, Dept. of Medicine, JIPMER, Puducherry, India Professor of Medicine & Professor and Head of Endocrinology, Pondicherry Institute of Medical Sciences
WiDF oration
Salim Yusuf Chair in Cardiovascular Disease at McMaster University Medical School Hamilton, Ontario, Canada
organiSing chairman
Shashank R. Joshi, Mumbai IndiaMD, DM, FICP, FACP (USA), FACE (USA), FRCP (Lon, Glsg & Edin)Endocrinologist, Joshi Clinic, Lilavati Hospital, Apollo Sugar Clinic & Bhatia Hospital President, Association of Physicians of India (API) (2014-15) • Emeritus Editor, JAPI President, Indian Academy of Diabetes • Past President, Hypertension Society of India Past-President, Endocrine Society of India (2015-16) • Past President, RSSDI (Research Society for the Study of Diabetes in India 2011) • Past President, AIAARO (All India Association of Advancement for Research in Obesity) • Chapter Chair India AACE
inviteD SpeakerS
Andrew Boulton, UK
Pankaj Shah, Mayo Clinic, USA
Sumit Bhagra, Mayo Clinic, USA
Anjeli Bhagra, Mayo Clinic, USA
regiStration Form
Prof. Dr. Mr. Ms.
Name :.........................................................................Surname : ..................................
Hospital : .........................................................................................................................
Title/Position : ..................................................................................................................
Mailing Address : ............................................................................................................
....... ..................................................................................................................................
City : ................................................................................. Pin Code : .............................
Tel. No. Hospital/Office : .................................................. Residence : ..........................
Fax : .............................................................Mobile : .....................................................
E-mail : ............................................................................................................................
Name as you would like to have printed on Badge : .....................................................
Upto 31st Oct. 2019
Upto 31st Dec. 2019
Delegate ` 8,000/-* ` 10,000/-*
*PLUS APPLICABLE TAxES
` .......................................................................................................................................
Demand Draft No. ........................................................... Dated : ..................................
Drawn on Bank ...............................................................................................................
Signature ....................................
All payments to be made by Demand Draft only in favour of ‘EVENTS IN MUMBAI’.
No Spot Registration.
Right to admission reserved.
No refunds shall be done
CME certificate only for full attendance of the program (Delegates are requested to adjust travel schedules accordingly as the meeting ends at 5.30 pm on 19th January 2020 and certificates shall be handed over in person. Absentees due to any reason including travel shall not get the certificate)
Applicable Taxes Extra
Please send this form and bank draft to: Dr. Shashank R. Joshi, Organizing Chairman Joshi Clinic, 12 Golden Palace, Turner Road, Bandra (W), Mumbai - 400 050. e-mail: [email protected] www.idsi.in
WiDF oration
Salim Yusuf Chair in Cardiovascular Disease at McMaster University Medical School Hamilton, Ontario, Canada
inviteD SpeakerS
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SecretariatDr. Shashank R. Joshi, Organizing Chairman
Joshi Clinic, 12, Golden Palace, Turner Road, Bandra (W), Mumbai – 400 050. email: [email protected] www.idsi.in
