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The 2nd International Airway Course is scheduled on 22, 23, 24 April, 2011.

Deenanath Mangeshkar Hospital & Research Center
Erandwane, PUNE 411 004. INDIA.
Tel. : + 91 020 6602 3511
Email : voicelaserdmh@hotmail.com

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2nd International Airway Course
with Hands On Cadaver, Tracheoplasty , Thyroplasty &Laser Training
22nd, 23rd & 24th April 2011, Pune , India

( Kindly enroll me for: please tick on check box)

Only Hands on training ( 22nd April 11 ) ( Limited Seats )
Whole Course ( 22nd .23rd & 24th April 11 )
Whole Course without hands on training ( 23rd & 24th April )


Name: Age:
Sex:
Qualification:
Designation:
Address
Phone (STDCode)
 Mobile
 Email

I enclose Demand Draft No. for Rs.

US $ on bank Branch

in favour of ‘Deenanath Mangeshkar Hospital & Research Centre’ payable at Pune, India.

Course Fees : ( PG Students should enclose Certificate from the Department Head )

Course Delegates IVA Member

P.G. Students

Whole course
(22nd , 23rd & 24th April )

Rs.6000/-

USD $300

Rs.5000/-

USD $250

Rs. 4000/-

USD $200
Course Without hands on training (23rd & 24th April)

Rs. 2000/-

USD $100

Rs. 1500/-

USD $75

Rs. 1200/-

USD $60
Only Hands on Training
( 22nd April)

Rs. 4000/-

USD  $200

Rs.3500/-

USD  $175

Rs. 3000/-

USD $150

Note - PG Students should enclose Certificate from the Department Head

Please send with form to :

Dr. Sachin Gandhi
Course Director – Voicecon 2010
Director, Dept of Laryngology
Deenanath Mangeshkar Hospital & Research Centre
Erandwane, Pune - 411004.

Ph - 020 66023511 9595123008
Email - voiceclinic@gmail.com voicelaser@dmhospital.org

FOR MORE INFORMATION - www.voicelaser.com www.voiceairwaylasercourse.com

DEENANATH MANGESHKAR HOSPITAL & RESEARCH CENTER