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REGISTRATION
FORM
POSTGRADUATE MEDICAL
EDUCATION CONFERENCE
30 – 31 May
2003
Name:
________________________________________________________________________
Address:
______________________________________________________________________
Title/Designation:
_______________________________________________________________
Institution:
_____________________________________________________________________
Phone:
Off: _________________________________Res: _______________________________
Lectures:
Registration
fee: Nil
Participants can pre-register by mail or on the day of the
event.
Workshops:
Registration
fee: Rs.300.00 in cash or by bank draft in the name of "Aga
Khan University".
Due to
limited capacity, the deadline for registration for the workshops
is Friday,
May 23, 2003. Registration will be on a first come
first served basis. Please select one of the following workshops.
[ ] Critical
Appraisal … 30 participants
[ ] Time
Management … 30 participants
[ ] Conflict
Resolution … 30 participants
If we
are unable to accommodate you in the workshop that you have
selected, would you like to attend another workshop? Yes
[ ] No [ ]
Please
forward your application form along with the registration
fee for the workshop to:
Conference
Secretariat
Aga Khan University,
P.O. Box 3500, Stadium Road, Karachi - 74800,
e-mail: conf.sect@aku.edu
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