Theory and Practice of Epidemiology and Biostatistics 2018
Registration form
Name of Participant
Your answer
Designation
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Name of the Institution
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Contact Address
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Telephone number *
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E-mail ID *
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Accommodation required
If yes, please tick choice
Agreeable to sharing room
Food preference
If yes
Reason for interest in the workshop
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Two main expectations from the workshop
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Any other information which you would like to share
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Will you bring your own laptop
Will you be attending 1-day demography course?
Transaction ID of bank transfer made
Your answer
Important notes on registration
1. A separate registration form needs to be filled for each participant with the course fees before 15 July Rs.8500/-(For Students) & 12500/- for Faculty. [After 10 July: Rs 12,500/- (for students) & Rs 17,500/- (for faculty)
2. Participants wishing to attend the 1-day demography course need to pay additional Rs 1000/- towards registration fee
3. Participants who wish to bring own lunch during the course can pay Rs 2500/- less towards the fee
4. For further clarification kindly contact Jeeva, Telephone: 080-49467000 Ext-7030
Contact for further enquiry
Dr Prem K. Mony, M.D.
Course Director
Head, Division of Epidemiology & Population Health
St. John’s Research Institute
Bangalore – 560034

Dr Tinku Thomas, PhD
Course Coordinator
Head, Biostatistics Unit
St. John’s Research Institute
Bangalore–560034
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