63 INDIAN PHARMACEUTICAL CONGRESS - CocoDoc

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Indian Pharmaceutical Congress AssociationOrganised by

rd 63 INDIAN PHARMACEUTICAL CONGRESS

BENGALURUth th

16 -18 DECEMBER 2011

Theme

Pharmavision2020

India - The PharmaPowerhouse

rd63 IPC Bengaluru

www.ipc-2011.com

Secretariat Office :

No. 2, Ravi Kiran Apartment12, Plain Street, Infantry Road Cross,Shivaji Nagar, Bengaluru - 560001Ph. : +91-80-4202 5385, 4202 5386E-mail : [email protected]

Host :

Official Media Partner :Exhibition Partner :

Venue :

Bangalore International Exhibition Centre10th Mile, Tumkur roadBengaluru - 562 123

Indian Pharmaceutical Association

BENGALURUth th


ndian Pharmaceutical Congress is the most important event of every year for Pharmacy professionals in India. It has

evolved as showcase of the progress made by Pharmacy profession in India. The unique feature of the Congress is its Imovement across the country, connecting with professionals . The Congress attracts stake holders from all facets of

the profession like Education, Regulatory and Industry. It proves to be window of the profession for numerous students

and has significant impact on their minds.

The 63rd Indian Pharmaceutical Congress will be held in Bengaluru in Dec 2011. Continuing the Vision 2020 theme over

last few years, the theme this year is “Vision 2020 – India The Pharma Powerhouse”. Our team of strong dedicated LOC has

already started working on various aspects of the Congress. The four important pillars of any successful Congress are

scientific programme, the venue , the exhibition and the arrangements /execution of the event. This year, the venue is

BIEC, which I rate as the best venue IPC has ever has till date. The scientific committee will work with the Scientific

convener of IPCA to put forth a relevant programme meaningful to all participants.

We have seen that the participation from the Industry is receding over last few years. This year we shall ensure that the

programme is attractive to Industry and we shall address the issues faced by the Industry. If India has to evolve as the

Global Pharmaceutical Powerhouse, there is need to upgrade the other facets of the profession namely Education and

Pharmacy Practice. I am sure that we shall have interactive sessions on the above resulting into a document with well

laid down action items to reach the desired objective. We shall focus on quality rather than quantity.

rd

I request you to support 63 Pharmaceutical Congress wholeheartedly. Our team is striving hard to ensure highest level

of value addition and satisfaction to all participants.

Please join us to make the Congress a successful event.

Subodh Pr olkari

63rd Indian Pharmaceutical Congress - 2011

President ,

President’s MessagePresident’s Message

Indian Pharmaceutical Congress Association (IPCA): A federation of five National Pharmaceutical Associations as its

constituents - is the apex body representing Indian Pharmacists working in various capacities, viz, Pharmaceutical

Industry, Research and Development, Quality Control, Quality Assurance, Academics, Drugs Control Departments,

Hospitals, Community and Clinical Pharmacy, Marketing, etc. Total strength of all federating associations would be more

than 20000 Professionals/Pharmacists as members.

The five federating associations of IPCA include:

About IPCA

IPA Indian Pharmaceutical Association

IHPA Indian Hospital Pharmacists Association

APTI Association of Pharmaceutical Teachers of India

The First Indian Pharmaceutical Congress (IPC) was organized at Kolkata in December 1948, with Prof. M. L. Schroff as its

President. Thereafter, each year Indian Pharmaceutical Congress has been organized successfully. The professionals

elected to preside over the Indian Pharmaceutical Congress during these years have been persons of great eminence in

their fields. The Presidents have been personalities mainly from Pharmaceutical Industry, Research and Development,

Quality Control, Quality Assurance, Academics, Drugs Control Departments, Hospitals, Community and Clinical

Pharmacy and Marketing. Intelligent and appropriate expression has been given by each of them to particular issues

and fields of prime importance in the form of a theme statement.

IPGA Indian Pharmacy Graduates’ Association

AIDCOC All India Drugs Control Officers’ Confederation

Central Council Members

Mr. Subodh PriolkarPresident

[email protected]+91-9867945678

Prof. T. K. RaviTreasurer


Dr. N. UdupaConvener-Scientific Services

[email protected]

Mr. S. L. NasaPast President

[email protected]

Mr. Krishna DevHon. Gen. Secretary


Hon. Joint SecretaryMr. Atul. K. Nasa


BENGALURUth th


Welcome to the Garden City and the Knowledge Capital of India – Bengaluru.

With the growing focus on knowledge and entrepreneurship, India is recognized as one of the

powerhouses in the field of Pharmacy. While we are proud to produce quality generic drugs at

affordable prices for the world, we have also taken on the challenged to explore and discover

newer therapeutic molecules. The need to evaluate new areas for mitigation of ailments while

ensuring speed of bringing them to the suffering provides us the opportunity to be in the

cutting edge.

The 63rd Indian Pharmaceutical Congress at Bengaluru is being hosted by the Indian Pharmaceutical Association,

Karnataka State Branch (IPA-KSB) with the support of IPA Central. The activities during the Congress are meticulously

planned to ensure that Science based knowledge is shared in concurrence with its practical application.

The venue of the Congress is the world class Bangalore International Exhibition Centre (BIEC), where the architecture is

inspired by silk weaving, a traditional industry in Bengaluru. The ambiance is conducive to meeting the requirements of

all activities, right from networking to peer professionals’ debates at various locations such as the Exhibition area,

Speaker’s corner, Poster sessions, Key note speeches, or just across anywhere on the site. The weather at Bengaluru is

mild and one of the greatest advantages compared to other locations in the country.

Please be assured of the best possible arrangements at, and off the venue that will make your stay comfortable so you

will carry pleasant memories back home. Highly committed local committees for various activities are making all efforts,

with a smile on their face to make your presence in the Congress memorable and to set a new bench mark.

With the rejuvenation of the economy across the world, it’s time for Pharmaceutical professionals to contribute to help rd

India to move to a bigger league in line with the 63 IPC theme:

rd th thI look forward to welcoming you to the 63 IPC from December 16 to 18 , 2011.

“Vision 2020 – India the Pharma Powerhouse”

Dr. B. R. Jagashetty,

rd63 Indian Pharmaceutical Congress - 2011

Chairman,

Local Organizing Committee,

Chairman’s MessageChairman’s Message

BENGALURUth th


Indian Pharmaceutical Association (IPA) is the premier professional association of

Pharmacists in India, with a member base of over 14,000, spread across the length & breadth

of the nation. IPA operates in India through 17 state branches & more than 33 local branches.

The members represent various facets of Pharmaceutical profession viz. Industry, Regulatory,

Community Pharmacy, Hospital Pharmacy & Education. IPA is also actively associated in

managing several academic programme. As member of Drug Technical Advisory Board, India - IPA is actively involved in

advising the government on matters of professional importance. IPA is affiliated with international Pharma associations

like FIP, FAPA, CPA, AAPS, AAiPS, IPSF & WHO for carrying out various collaborative professional activities, which include

organizing training programmes for professionals from industry, academics, regulatory & practice, making

representations to the authorities on matters of professional interest & working towards constantly upgrading the

standards of professional services offered by the pharmacists.

About IPA

To serve as a platform for all the Pharmacy students in India to come together and explore their absolute potential.

To contribute in improving status of Pharmacy profession.

To represent students' views on Pharmacy curriculum.

To contribute towards improving health care in India.

To fuel the potential of recent graduates and young Pharmacists, as enthusiastic agents of professional and social change.

To promote leadership amongst members while abiding the highest professional and ethical standards.

To promote social and professional contact amongst young Pharmacists fostering intercultural competence and professional development.

To participate in Pharmacy policy development in a pro-active way.

To establish, maintain and expand a national and world wide network of Pharmacy students.

To give the students an exposure to international Pharmacy scenario.

Aims and Objectives :

Different divisions of Indian Pharmaceutical Association are:

INDUSTRIAL PHARMACY DIVISION COMMUNITY PHARMACY DIVISION

EDUCATION DIVISION REGULATORY AFFAIRS DIVISION

HOSPITAL PHARMACY DIVISION IPA STUDENTS FORUM (Students Division)

IPA, Kalina, Santacruz (E)

Mumbai - 400098, Maharashtra, India

Ph. : +91-22-26671072

Fax : +91-22-26670744

E-mail : [email protected]

Dr. C. Gopalakrishna MurtyPresidentIndian Pharmaceutical Association

,

BENGALURUth th


IPCA Council Members

Dr. B. R. Jagashetty Mr. C. P. Bothra

[email protected] [email protected]

+91-9449818892 +91-9845061376

rd63 IPC NomineesHeadquarter Nominees

Mr. S. D. Joag Mr. P. D. Sheth Dr. Devinder Pal

[email protected]+91-97696 67999

Dr. T. V. Narayana




Indian Pharmaceutical Association Nominees

Mr. R. A. Gupta Mr. Pankaj Bector


+91-9839027172 +91-9891987904

IHPA Nominees

Mr. Ravikant Mr. A. V. Giri


+91-9818953363 +91-9892785051

AIDCOC Nominees

Dr. P. G.Yeole Prof. B. G. Shivananda


+91-9422140127 +91-9844023000

APTI Nominees

Mr. Atul. K. Nasa

[email protected]

+91-9871318288

IPGA Nominees

Mr. J. Jayaseelan

[email protected]

+91-9444019072

Prof. B. Jayakar

[email protected]

+91-9362104518

Mr. N. Sreenivasen

[email protected]

+91-9444019887

Dr. C. Gopala Krishna Murty


Mr. Kaushik Desai


Dr. Arun Garg

[email protected]

+91-9312246553

Mr. V. B. Desai


Mr. J. A. S. Giri


BENGALURUth th


Committee MembersLocal Organizing Committee

Associate Secretaries

Chairman of Various Committees

Treasurer


Mr. Jayaprakash Mady

[email protected]

+91-9448551599

Prof. C. Ramesh

[email protected]

+91-9448585884

Mr. Amaresh Tumbagi

Re

gis

tra

tio

n


Dr. S. Shashidhara

Acc

om

od

ati

on


Mr. Shailesh [email protected]

+91-9845000355

Mr. Rakesh Bamzai

Pre

ss &

P

ub

lici

ty

Chairman


Dr. B. R. [email protected]

+91-9845034647

Mr. Suresh KhannaHon. Joint Secretary-1Hon. Gen. Secretary


Mr. C. P. BothraHon. Joint Secretary-2


Dr. T. V. Narayana

[email protected]

+91-9845568480

Mr. S. G. Biligiri

[email protected]

+91-9448070463

Mr. M. Khalid Ahmed Khan

[email protected]

Mr. Suresh Khanna

Fin

an

ce


Mr. Jayaprakash Mady

Fo

od

&

Ca

teri

ng


Dr. Karvekar M D

Ho

spit

ali

ty

[email protected] 9844116869 +91-

Mr. Jatish Sheth

+91-9845034647


Prof. B. G. Shivananda

So

uv

en

ir

[email protected]

+91-9341707222

Mr. Rami Reddy

En

tert

ain

me

nt

[email protected]

+91-9845055636

Mr. Anjan Roy

Ve

nu

e

[email protected]

+91-9243240300

Mr. Ramanand Hegde

Pu

bli

c R

ela

tio

ns


Dr. Gopalkrishna Rao

Tra

nsp

ort

[email protected]

+91-9341960799

Dr. Divakar Goli

Vo

lun

tee

rs

[email protected]

+91-9448382285

Mr. S. K. Hegde

Se

curi

ty

Sig

hts

ee

ing

[email protected]

+91-9844116869

Mr. Jatish [email protected]

+91-9590959011

Dr. Kalyani Divakar

La

die

s H

op

ita

lity

Prof. B. G. Shivananda

[email protected]

+91-

Info

. & W

eb

C

o-o

rdin

ati

on

[email protected]+91-

Mr. S. M. Mudda

Sci

en

tifi

c

[email protected]+91-

Mr. B. Vasant Ranka

Ina

ug

ura

tio

n

[email protected]

+91-9845188314

Mr. Venkat S. Iyer

Ex

hib

itio

n

Dr. Nandakumar Jayaram

Me

dic

al

Se

rvic

es

[email protected]

+91-80417 91000

Joint Treasurer

[email protected]

+91-9902759871

Mr. Goni Fakkirappa

Co-ordinator

[email protected]

+91-9844076399

Mr. Y. Veeranarayana Gowda

Advisor

Prof. V. B. Desai


LOC Member

Mr. Kaushik Desai

[email protected]

+91-9167010122

LOC Member

Mr. Ram Banarse

[email protected]

+91-98927 40082

LOC Member

Mr. S. D. Joag

[email protected]

+91-97696 67999

LOC Member

Dr. C. Gopala Krishna Murty

[email protected] +91-9848042917

LOC Member

Mr. Krishna Dev


BENGALURUth th


BENGALURUth th


Call for Presentation of Papersth

Last date of submission of abstract : 15 Sep 2011

The Scientific Services Committee has great pleasure in inviting you to submit

findings of your original scientific work for presentation in any of the following

scientific sessions during the congress with the aim to disseminate knowledge

and facilitate the exchange of new ideas among the members of Pharmacy

Profession.

Pharmaceutical Technology

Medicinal Chemistry

Pharmacognosy, Indigenous Drugs, Herbal Formulations

and Phytochemistry

Pharmacology, Toxicology, Clinical Research and

Pharmacovigilance

Biopharmaceutics, Pharmacokinetics and

Drug Metabolism

Pharmaceutical Analysis and Quality Assurance

Biotechnology and Biotherapeutics

Hospital, Community and Clinical Pharmacy

Pharmaceutical Education and Professional

Pharmacy

Drug Regulatory Affairs

Pharmaceutical Management

Pharmacoeconomics and Pharmacoepidemiology

The paper will be considered for presentation in poster sessions.

For detailed information and for submission of papers please log on to www.scientificipca.org

Hard copies of abstracts will not be entertained.

The best paper from each session will be selected for oral presentation.

All queries/communications in relation to the scientific abstracts should be through e-mail only.

Contact for more details:

Dr. N Udupa

Convener-Scientific Services

Indian Pharmaceutical Congress Association

Manipal College of Pharmaceutical Sciences

Manipal University

Manipal 576104, Karnataka, INDIA.

Email: [email protected]

Mr. S M Mudda

Chairman - Scientific Services Local Organizing Committee

Executive Director-Technical & Operations Micro Labs Ltd.,

27, Race Course Road, Bengaluru 560 001, Karnataka, INDIA

Email: [email protected]

VenueBengaluru International Exhibition Centre

Pharmaceutical EXPO 2011

rdPharmaceutical EXPO 2011 concurrent with 63 Indian Pharmaceutical Congress is a focused exhibition on the Pharmaceutical

Industry. The event will provide opportunities to all the participating companies to display their products and services

amongst the conference delegates and business visitors during the show.

Pharmaceutical EXPO 2011 at Bengaluru will attract more than 8000 delegates comprising of entrepreneurs, CEOs and top

executives of the Pharmaceutical Industry, Officers from the Regulatory Department , Pharmaceutical Consultants, Hospital

Administrators , Top officials of Central and State agencies, Academicians and Students from Medical and Pharmacy Colleges

from across the globe.

Federation of Indian Chambers of Commerce & Industry (FICCI)

The largest & oldest apex organization of Indian business & industry is the rallying point for free enterprises in India. With a

nationwide membership of over 1500 corporates and over 500 chambers of commerce and business associations, FICCI speaks

directly and indirectly for over 2,50,000 business units. FICCI organizes a large number of events including Exhibitions,

Conferences, Seminars, Business meets etc. for promoting business. FICCI organizes industrial exhibitions on various sectors

like Chemicals, Pharmaceuticals, Defense, Aviation, Power, Telecom, Building materials, Food and many more. FICCI has an

experience of having organized nine successful editions of PHARMAceutical EXPOs’ concurrent with Indian Pharmaceutical

Congress at various destinations across India.

Exhibition Information

BIEC is, today, the number one choice of all major exhibitions / events / conferences for

organizers from all over the world. BIEC caters to industry segments and important center

of all National conferences in Bengaluru.

10th Mile, Tumkur Road, Madavara Post, Bangalore - 562123. India.Tel : +91-80-66246600, Fax : +91-80-6624666, E-mail : [email protected], Website : www.biec.in

BUS STATION

RAILWAY STATION

TO MYSORE ROAD - HOSUR ROAD

BA

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WA

Y

JA

LA

HA

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JALAHALLI CROSS

OUTER RING ROAD

GUIDE MAP

BENGALURUth th


Sightseeing Details

Local Sightseeing

Places Covered : Vidhana Soudha, Palace, Tipu’s Palace, ISKCON,

Lalbagh, Tour ends at Commercial Street / MG Road (for Shopping).

Snacks on board

½ day / 1 day550 /-

Per person

1

2Mysore

Full day Mysore Trip . Snacks on board and lunch in Mysore.1 day

1200 /-

Per person

3Local Sightseeing

Places Covered : Vidhana Soudha, Tipu’s Palace, ISKCON, Lalbagh,

Innovative Film City (Entry Fee Not Included) + Janapada Loka. Snacks on

board.

1 day850 /-

Per person

4

1 day650 /-

Per person

Art of Living Ashram / Bheemeshwari (Night Halt at Bhimeshwari)

snacks on board

5 Mysore, Belur Halebeedu.

Places Covered : Belur, Halebeedu Brindavan Gardens, Mysore Palace,

Chamundi Hills, Rangana Tittu, Sriranga Pattana. (Night Halt at Mysore)

snacks on board

2 days6000 /-

Per person

6Kabini Jungle Lodge – 1 Night Halt

1 lunch, 1 dinner and 1 breakfast included2 days

6,300 /-

Per person

7 Coorg (Madikeri – Nisargadhama, Dubbare Forest).

Places Covered : Madikeri, Abbey falls, Raja seat, Nisarga Dhama,

Omkareshwara Temple, Dubbare Forest, Kushal Nagar, Veera Bhoomi.

(Night Halt at Madikeri) snacks on board and breakfast at hotels.

2 days6000 /-

Per person

8 Mangalore, Udupi, Murdeshwar

Gokarnanatheshwara Temple, Udupi Krishna Temple, Malpe,

Maravanthe, Murudeshwara, Dharmastala, Horanadu, Sringeri.

(1st day Night Halt at Mangalore, 2nd day Night Halt at Murudeshwara)

breakfast at hotel. Snacks on board

2 days10,600 /-

Per person

9Hampi, Badami

Hampi, Vithala temple, Virupaksha temple, Lotus Mahal, Badami,

Pattadakal, Aihole.

(1night in Badami and 1 night in Hospet)

3 days9,700 /-

Per person

Note : Amount mentioned above are approximate and tentative

BENGALURUth th


Hotel Details

Sl No. Hotel

Distance from the

venue (Km)Ph No. Single Double Single Double

A/C Non A/C

20

23

460/-

-

S C ROAD

MODERN HOTEL DELUXE 550/-

-

260/-

300/-

320/-

580/-SRI RAMAKRISHNA LODGE

23 1600/- - 600/- 1200/-HOTEL RAJMAHAL

23 - - 700/- 1200/-HOTEL HOYSALA

23 - - - 760/-SANDHYA LODGE

23 900/- 1200/- 400/- 750/-HOTEL SANGEETH

23 - 2000/- - 1300/-HOTEL SAMRAT RESIDENCY

23 - - 260/- 460/-HOTEL MODERN

GANDHI NAGAR

23 -HOTEL TRIBHUVAN - 450/- 750/-

23 1800/-HOTEL NANDINI 1900/- 1400/- 1600/-

23 -HOTEL GOLDEN RESIDENCY 1550/- - 1350/-

20 3300/-CITADEL - - -

23 -HOTEL KAPILA - 400/- 650-750/-

ANANDA RAO CIRCLE

23 1400/-HOTEL SHEETAL 1700/- 430/- 615/-

20 1650/-J P CORDIAL - - -

20 7000/-TAJ WEST END 7500/- - -

RACE COURSE / SANKEY ROAD

20 3000/-THE SOLITAIRE - - -

20 3300/-FORTUNE PARK J P CELESTIAL - - -

SHESHADRIPURAM

20 4000/-TRINITY ISLE 5000/- - -

20 5000/-CITRINE 6000/- - -

20 1250/-GRAND MERIDIAN 1500/- 990/- 1250/-

YESHWANTHPUR / TUMKUR ROAD

12 5000/-PRABHA INTERNATIONAL 5500/- 3500/- 4000/-

15 4500/-PARIJATHA GATEWAY 5000/- 3500/- 4000/-

CRESCENT ROAD

20 3300/-GOLD FINCH - - -

INFRANTRY ROAD

23 3500/-ASHRAYA INTERNATIONAL 4000/- - -

HEBBAL & YELHANKA

20

080-23462717

080-22263041

080-22287304

080-23464300

080-22874071

080-22264149

080-23460822

080-23462717

080-22263151

080-22424244

080-41476434

09342529229

080-22269434

080-41139282

080-42423737

080-40003000

080-41241660

09686199949

080-41291300

080-40355999

080-41305872

09945739111 2250/-THE CHALET SERVICE APARTMENTS 2500/- 1500/- 1750/-

1. Applicable taxes extra.

2. Bookings should be made sufficiently in advance to ensure availability of rooms in the required specific hotels.

Otherwise booking will be made in alternate hotels.

3. For any clarification contact Mr. Shailesh Siroya at +91-9844010103 / Mr. Chandrashekhar at +91-9845199636

Note :

SHERATON BANGALORE 15 7500/- 8000/-

080-42521000

09591996942 -23.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

20.

21.

22.

12 7000/-TAJ VIVANTA 7500/- - -080-6660566024.

25.

26.

27.

28.

29.

30.

A B C D

09968199939

20 5900/-Le MERIDIAN 6900/- - -080-22267676

080-6660 5660

19.

Dormitory accomodation for students Rs 200 per person per day.

080-4044 3636

080-4243 4243

080-40214021

BENGALURUth th


BENGALURUth th


For online registration and to download Registration Form visit

Duly filled registration form & DD / Pay order in favor of

is to be submitted before the

deadline.

Acknowledgment & the receipt of registration will be sent to the email mentioned in the registration form &

it is compulsorily submitted during registration.

Registration form received after 30/11/ 2011 will be considered as spot registration & it is subject to LOC

approval.

Student delegates must enclose individual bonafide certificate from the Head of the institution.

Registration fees is not refundable & non transferable.

Attendance certificate will be inserted in the delegate kit.

Foreign delegates need valid passport & visa. They should ensure early registration & they will receive an

acknowledgment letter.

Health care team will be available throughout the conference & please intimate the medical history of

illness which will be kept confidential.

Bengaluru remains pleasant during the winter season. The average temperature ranges between 15°C to

28°C

www.ipc-2011.comrd

63 INDIAN PHARMACEUTICAL CONGRESS,

BANGALORE, (BANK : STATE BANK OF MYSORE S.B. A/C NO. 64075732678)

Registration fee and other details

NOTE :

Category

IPGA/AIDCOC/APTI/IPA/IHPA members

Non members

Spouse & accompanying members

Student delegates

Foreign delegates

Upto

31-10-2011

` 3000 + 309

` 4500

` 2000

` 2000

USD 250 + USD 26

`

+ ` 464

+ ` 206

+ ` 206

Upto

30-11-2011

`

` 7000

` 4000

`4000

USD 300

5000 + ` 515

+ ` 721

+ ` 412

+ ` 412

+ USD 31

After 30-11-2011

& Spot registration

`

` 11000

` 6000

` 5000

USD 400

9000 + ` 927

+ ` 1133

+ ` 618

+ ` 515

+ USD 41

Disclaimer:rd

The 63 Indian Pharmaceutical Congress 2011 or any of its federating associations or their constituent members or the members of the

Local Organizing Committee members or any of the task committee chairpersons shall under no circumstances be liable / responsible for

any direct, indirect, incidental, consequential, special or exemplary damage, loss or injury caused to any of the delegate, spouse or

accompanying person (s) attending the said conference.

Registration fee + Service Tax (10.3% ) Details :

Please visit website for instructions regarding online payment

Name : .................................................................................................

Gender : M ( ) F ( )

Correspondence address

(: E-mail ID

Accommodation category : A/B/C/D

D. D. or Pay order in favour of rd

63 Indian Pharmaceutical Congress

Name : ...................................................................................................

Gender : M ( ) F ( )

Correspondence address

( : E-mail ID

Sight seeing trip no. : 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 (Mark the appropriate)

Sight seeing payment details

rd 63 IPC Bengaluru Registration details

th th(16 to 18 December, 2011)

AFFIX

PHOTO

AFFIX

PHOTO

Name : Prof/Dr./Mr./Mrs./Ms. ............................................................................................................................................................

Gender : M ( ) F ( )Correspondence address :

City : ..................................................... State : ................................................

Country : ............................................ Mobile : ............................................ E-mail : ....................................................

Member of IPGA / IPA / APTI / IHPA / AIDCOC Membership No. ...............................

Accompanying persons :

Name : Age Amount

a ------ ------------

b ------ ------------

Choice of Food : Veg / Non Veg

Registration amount payable (In words )

rdD. D. or Pay order i/f of a/c 63 Indian Pharmaceutical Congress, Dated ____________________________

Bank _______________________________________Drawn on Bangalore

AFFIX

PHOTO

Professional / Student / Foreign / Spouse / Non member Mark the appropriate

. .......................................................................................................................................................................................................................

. ................................................................................

............................................................................................

Signature of Delegate DateMobile Number and photo are compulsory

Signature of Delegate DateSignature of Delegate Date

Mobile Number and photo are compulsory Mobile Number and photo are compulsory

1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 /

Accomodation payment details

rd th th63 IPC Bengaluru (16 to 18 December, 2011)

rd th th63 IPC Bengaluru (16 to 18 December, 2011)

* For clarifications mail to [email protected]

16 / 17 / 18 / 19 / 20 / 21 / 22 / 23 / 24 / 25 / 26 / 27 / 28 / 29 / 30

(Mark the appropriate)

Dated ________, Bank payable at Bangalore

D. D. or Pay order in favour of rd

63 Indian Pharmaceutical Congress

Dated ________, Bank payable at Bangalore

Theme

Pharmavision2020


rd63 IPC Bengaluru

PHARMAceutical

EXPO 2 0 1 1EXIHIBITION ON PHARMACEUTICAL INDUSTRY

t h1 6 - 1 8 , 2 0 11

t h D e c e m b e r

Bangalore International Exihibition Centre, Bengaluru

CONCURRENT WITH THE

Organized By :

For information :

Mr. Kamal Bhardwaj

Mob : 91 9899392930

Email : [email protected]

rd 63 INDIAN PHARMACEUTICAL CONGRESS

Theme

Pharmavision2020


rd63 IPC Bengaluru

Tecs

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