10^th Workshop on
Medical Informatics &
Biomedical Communication

(Sponsored by DBT)
November 30 - December 1, 2007

  REGISTRATION FORM 

(may be xeroxed for extra copies)

 Name(Dr./Prof./Mr./Ms.)___________________________

 Age ____________ Sex  __________________________

 Qualification ____________________________________

 Designation _____________________________________

 Mailing address (with PIN) _________________________

)(Office)____________________ (Res) _____________

 Mobile ________________ Fax ____________________

 e - mail _______________________________________

 Enclosed is my brief resume

Candidate’s Signature   

 Completed registration form may be sent to

 Dr. Satish Kumar
 Professor, Biochemistry &
 Dy Coordinator, Bioinformatics Centre
 JB Tropical Disease Research Centre
 Mahatma Gandhi Institute of Medical Sciences,
 Sevagram, (Wardha) -  442102