KARNATAKA STATE PEDICON 2014 XXXIII ANNUAL STATE CONFERENCE OF INDIAN ACADEMY OF PEDIATRICS Venue : JSS Medical College, Mysore DATE : 31st Oct, 1st & 2nd Nov 2014 REGISTRATION FORM (PLEASE FILL IN BLOCK LETTERS) Dr /Mr/ Ms. ______________________________________________________ Age:___________ IMailing address: __________________________________________________________________ ________________________________________________________________________________ City:______________________ Pin Code:_______________ State:__________________________ Email:___________________________________________________________________________ (Kindly provide the email id in capital letters) Mobile: _________________________________________________________ Delegate Category: IAP member Non IAP member Postgraduate Accompanying Person IAP membership No________________________________________________ Karnataka Medical Council Reg. No.___________________________________ Details of accompanying person 1. _______________________________ 2. ____________________________ Payment Details I am enclosing a Cheque/DD No. __________________ dated _____________ In favour of KARNATAKA PEDICON 2014. ( Add Rs. 100/- extra for out station cheque) For Rs. ______________ in words _____________________________________ Drawn on ________________________________________________________ ONLINE BANK TRANSFER : SBM, Mysore, JSS College Branch IFSC CODE: SBMY0040249, A/C No. :64131953640 Kindly send transaction No. with registration form to the following address Address for Correspondence Organizing Secretary : Dr. Chandrashekar C. Sundari Nilaya, 2882, F Block, 7th Cross, Dattagalli 3rd Stage, Kanakadasanagar, Mysore -23 Mobile : 9845054767, email:[email protected] KARNATAKA STATE PEDICON 2014 XXXIII ANNUAL STATE CONFERENCE OF INDIAN ACADEMY OF PEDIATRICS Theme : Towards.... comprehensive care ( preventive, promotive, curative) HOSTED BY: IAP MYSORE DISTRICT BRANCH in association with Department of Pediatrics, JSS Medical College, JSS University, Mysore & Department of Pediatrics, Mysore Medical College & Research Centre, Mysore Venue : JSS Medical College, Mysore st st nd DATE : 31 Oct, 1 & 2 Nov 2014 Dear colleague/ academician, With the divine blessings of His Holiness Jagadguru Sri Shivarathri Deshikendra Mahaswamiji The organizing committee of Karnataka State PEDICON 2014, extend a warm welcome to you all for the XXXIII Karnataka State Annual Conference of IAP. The main objective of the conference is to empower you in all aspects of pediatrics. We are planning to hold a comprehensive scientific feast comprising of unique workshops, endowment lectures, orations and interactive sessions. We promise you the most eminent, reputed and knowledgeable faculties for the conference. With your help and participation we shall make this event a memorable one. We have applied for credit hours and you can access the updates on our website www.karnatakapedicon2014.org. Please email your queries to [email protected] The weather during November is comfortable and cool. Mysore is known for its heritage culture & sight seeing opportunities. We look forward for your active participation in the conference to make it a grand success. Dr. Narayanappa D. Dr. Chandrashekar C. Dr. Bhaktavatsala H.R. Organizing Chairperson 9845112560 Organizing Secretary 9845054767 Treasurer. 9845342390 Chief Patron His Holiness Jagadguru Sri Shivarathri Deshikendra Mahaswamiji Jagadguru Sri Veerasimhasana Mahasamsthana Math, Suttur Srikshetra, Chancellor, JSS University Patron Dr. Suresh B. Vice Chancellor, JSS University Dr. Basavana Gowdappa H. Principal, JSS Medical College Dr. Krishnamurthy B. Director & Dean, MMCRI Organising Chairman Dr. Narayanappa D. Co- Organising Chairmen Dr. Mothi S.N. & Dr. Balachandra H.M. Organising Secretary Dr. Chandrashekar C. Organising Joint Secretary Dr. Chetak K.B. & Dr. Srinivasa B.H. Treasurer Dr. Bhaktavatsala H.R. ADVISORS: Dr. Benakappa D.G. Dr. Manikya Raju Dr. H.Paramesh Dr. Doddegowda Dr. V.D.Patil Dr. Shivananda Dr. H. Veerabhadrappa Dr. Jiyoji Rao Dr. Banapurmath Dr. Govindraju M. Dr. Shantharam Baliga Dr. J.V. Narayan Dr. Kotturesh Dr. Rajan Deshpande Dr. Srinath Mugali Dr. Shepur Dr. Sanjeev Rai Dr. Suresh Babu P.S. Dr. Nalini Bhaskarananda Dr. R.T. Patil Dr. L.H. Bidari Dr. Bapat Dr. Nisarga Dr. Santhosh Soans COMMITTEES RECEPTION Chairman : Dr. Ravish S.R. Co Chairman Dr. V. Raju Dr. Murali H.V. Dr. Sripathi Adhikari Dr. Sudha Rudrappa Dr. G.M. Manjunath Dr. Ashoka. S Dr. Basavaraj Basaviaha Dr. Prashanth Rao H.S. Dr. Deepthi Thandaveshwara REGISTRATION Chairman : Dr. Narasimha C.A. Co-Chairman : Dr. Vijay Dev Members : Dr. Jayadev D.S. Dr. Ushakiran Dr. Mamatha Dr. Natesh M. CULTURAL AND BANQUET : Chairman: Dr S.N.Prashanth Chairman : Dr Shivnanjappa Dr Prashanth M.R SOUVENIER AND MOMENTOS Chairman : Dr Mahendrappa K.B. Dr Ashwin A.M Dr Manish S. Giri Co - Chairman : Dr Rashmi N. Dr Santosh Dr Pradeep N. Dr Suma Girish Dr Prashanth. S Dr Rajini H.S CATERING: Chaiman : Dr Rajendra. A.N MEDIA AND PUBLICITY : Co-Chairman : Dr Vidya Ranga Chairman: Dr Karat Chairman :Dr Panchakshiarahha Dr Kumar G.M Dr Ashok H.N. Dr Dattatreya Dr Nagendra K EXHIBITION COMMITTEE Dr Parvathi Chairman : Dr U.G.Shenoy Co-Chairman : Dr Umesh L. LADIES WING: Dr Manjunath. V.G Chairman : Dr Rajeshwari Co-Chairman : Dr Sarika Prasad Dr Shivu Dr Thibbegowda C.D. Dr Pushpalatha B.S. Dr Harish Kejriwal Dr Jaymala V. Dr Chandrashekar. K Dr Madhura P. Dr Shivnanje Gowda Dr Shoba Jagannath Dr Sangeeta Mahesh Dr Rajesh S.S SCIENTIFIC Chairman : Dr. M.D. Ravi Co-Chairman : Dr Srinivas Murthy D. Dr. M.R. Savitha WORK SHOP : Chairman : Dr. Jagadish Kumar. K Co-Chairman Dr. Bhuvaneshwar V.S. Dr. Girish G. Dr. Sushma K TRANSPORT AND ACCOMMODATION Chairman : Dr Palanetra K.S. Co-Chairman : Dr Rajendra Kumar Dr Nagraj Murthy Dr Govindraju K. Dr Mahedra Banakar K. STAGE /VENUE Dr Anitha C. Dr Mallika B. Dr Divya Hosur TRAVELS TOURS AND SITE SEEING: Chairman : Dr Malegowda S.M. Co-Chairman : Dr S. D. Mahesh Dr Rangaswamy Dr Shivanna Dr Jaykumar Registration Fee Category IAP Non IAP Accompanying Person PG Student 18-01-14 to 31-03-14 01-04-14 to 15-10-14 3,000/3,500/2,000/2,000/- 3,500/4,000/2,250/2,250/- 15-10-14 to Spot 4,000/4,500/2,500/2,500/- DETAILS OF ONLINE BANK TRANSFER Name of the Bank : SBM, Mysore Branch Name : JSS College Branch Bank Address : SBM, JSS College Branch, Mysore Name of the Account : KARNATAKA PEDICON 2014 IFSC CODE : SBMY0040249 Account number : 64131953640 Note : Application of PG students must be endorsed by the HOD, kindly send cheque / DD or online transaction number with registration form to the following address. Organizing Secretary Dr. Chandrashekar C. Sundari Nilaya 2882, F Block, 7th Cross, Dattagalli 3rd Stage, Kanakadasanagar, Mysore -23 Mobile : 9845054767, email:[email protected] For more information and online registration, kindly visit our website www.karnatakapedicon2014.org Special Attractions s) le (10km i Temp hamund C 00kms) ) Shivana kms) (75 ylkuppe B le p m e T ns n Garde Brindava kms) 1 terfalls ( a W a r d samu Zoo (1km Golden .5 Palace (0 e r o s y M (18kms) 0kms) (2 d Temple u g n ja n Na Other Places : Ooty (153kms), Bandipur National Park (80kms) Sreerangapatna (15kms), Nagarahole wild life sanctuary (100kms) s) ry (20km tua ird Sanc B u h t it h t Rangana