XI International Conference Dermatology &

42nd Annual Conference of IADVL

December 4-7, 2013, Hotel The Ashok, New Delhi, India
Theme: SKINDIA A Global Palette of Dermatology

Mail to:

Congress Secretariat
XI ICD and 42nd DERMACON
Dr. Vinod K Sharma
Congress President
Suite No. 4070, 4th Floor, Teaching Block,
AIIMS, Ansari Nagar, New Delhi 110029
Email: register.icd2013@gmail.com
Website: www.icddelhi2013.com

IADVL / SARAD REGISTRATION

Name (As you would like it to appear in your name badge) ..........................................................................................................................
Institution...........................................................................................Designation.....................................................................................
Age........................................................IADVL Membership No......................................................Gender: Male

Female

Address.....................................................................................................................................................................................................
..................................................................................................................................................................................................................
City: .................................................................. Pin Code: ......................................................... State: ..................................................
Telephone (Nos): STD Code: ............. (Res.): ......................................... (O/H): ................................... Mob: ............................................
Email.........................................................................................................................................................................................................
Name (s) of the Accompanying Person (s)
(1)............................................................................................................ (2) ............................................................................................
(3)............................................................................................................(4) ............................................................................................
Food Selection :

Vegetarian

Non-Veg

Continental

Other

REGISTRATION FEE FOR IADVL MEMBERS (in INR)

Registration Category

Early Bird
1st Jan-30th April

Early
1st May-31st July

Late
1st Aug-31st Oct

Onsite from
1st November onwards

Reg Fee

S. Tax

Reg Fee

S. Tax

Reg Fee

S. Tax

Reg Fee

S. Tax

Member

14684.94

1815.06

17354.93

2145.07

19935.92

2464.08

26699.89

3300.11

Student

7119.97

Corporate / Non member

8,000
22249.91
2750.09

9,500
26699.89 3300.11

12,000
29369.88 3630.12

14,000
31149.88
3850.12

25,000
7119.97
880.03
8,000
4449.98
550.02
5,000

30,000
7119.97
880.03
8,000
4449.98
550.02
5,000

33,000
7119.97
880.03
8,000
4449.98
550.02
5,000

35,000
8899.96
1100.04
10,000
5339.98
660.02
6,000

16,500

Accompanying
Presidential Dinner

19,500

880.03

8454.97

1045.03

22,400
10679.96

Please select ()
your registration
category

30,000

1320.04

12459.95

1540.05

COURSES REGISTRATION FEE (in INR)

Date

Category

th
5
Dec

Timings

Fee

Service Tax

Total Fee

COURSE 1. Lasers In Dermatology

14:30-18:00

2224.99

275.01

2500

COURSE 2. Aesthetic Dermatology

14:30-18:00

2224.99

275.01

2500

th
6
Dec

COURSE 3. Dermatopathology

14:30-18:00

2224.99

275.01

2500

th
7 Dec

COURSE 4. Dermatoscopy

14:30-17:30

2224.99

275.01

2500

WORKSHOP REGISTRATION FEE FOR IADVL AND SARAD MEMBERS (in INR)
Date
th
6

Category

Dec

Timings

Fee

Service Tax

Total Fee

WS 6 Dermatologic Surgery

09:00-10:30

2224.99

275.01

2500

WS 11 Surgery In Vitiligo

16:30-18:00

2224.99

275.01

2500

GRAND TOTAL in INR

* SARAD Delegates will need to pay total equivalent amount in US Dollars.
XI ICD & 42nd

Web: www.icddelhi2013.com
DERMACON Delegate Reg. Form Page No. 1 of 2 (P.T.O)

Choose any two free workshops, not more than one per day.

Workshop

Date

() Any Two

Choose any one free symposiums on each day of the conference.

WS 1 Genetics and Skin

5th Dec

WS 2 Psoriasis
WS 3 Parasitic Dermatology

5th Dec

Dec

SYMP. 3 Acne/Rosacea
SYMP. 5 New Diseases

th

Dec

SYMP. 6 Nutrition And Skin

WS 8 Genital Dermatology

SYMP. 7 Research In Dermatology

WS 9 Lymphoma

SYMP. 8 Vitiligo

WS 10 New Drugs

SYMP. 9 Eczema

WS 12 Autoimmune Diseases

SYMP. 10 Oncology

WS 13 Leprosy
7th Dec

SYMP. 2 Aging And Skin

SYMP. 4 Community Dermatology

WS 5 Pigment Disorders
WS 7 Nail Disorders

WS 14 Inflammatory Diseases

() Any Three

SYMP. 1 Tropical Dermatology

WS 4 Hair

th

Symposium

Date

SYMP. 11 Pediatric Dermatology

7th Dec

WS 15 ITCH

SYMP. 12 Skin Infections

SYMP. 13 Aesthetic Dermatology
SYMP. 14 What is new ?
SYMP. 15 STD /HIV
SYMP. 16 Contact Dermatitis

Instructions:
Please send the registration charges by demand draft/Multicity cheque in favour of 11th INTERNATIONAL CONGRESS
OF DERMATOLOGY payable at New Delhi, India.
Registration is mandatory for all participants.
Registration fee includes delegate kit, including sister society meetings, entry to all lecture halls and exhibition area, daily
tea/coffee and lunch, welcome and banquet dinner.*
The category of accompanying person includes only spouse, children and other dependent family members.
Children below 3 years of age are free from registration. Children above 3 years should be registered as accompanying persons.
Accompanying person registration entitles inauguration & valedictory function, lunches & banquet dinner.*
The category of Post Graduate student is applicable to students pursuing postgraduate courses in dermatology only.
Post Graduate students must send/bring a letter or recommendation from their head of department.
* President's Dinner on December 5, 2013 is by invitation or purchase of coupon.
Spot Registration:
Will be limited in nature.
Only cash and credit cards will be accepted (Cheque will not be acceptable).
Delegate bag will be issued subject to availability & is not mandatory.
Important Note:
To register as IADVL / SARAD, please write IADVL / other membership number.
Place ....................................................................

Signature ......................................

For office use only: Receipt No.........................

Registration No. ...........................

Web: www.icddelhi2013.com
XI ICD & 42nd DERMACON Delegate Reg. Form Page No. 2 of 2