Workshop RegistrationAPVS2019-02-12T12:56:17+00:00 Welcome to Asia Pacific Vascular Society Workshop Registration - (Please Register In Advance) in association with International Society of Endovascular Specialists (ISES), USA. 29th June - 1st July, 2018 Name*: Qualification*: Address*(Please provide complete detail): City*: State*: Country*: Select a Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua new Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City (Holy See) Venezuela Vietnam West Bank Western Sahara Yemen Yugoslavia, Federal Repubic Of Zambia Zimbabwe Pin Code*: Place of Work*: Telephone: Mobile*: E-mail*: REGISTRATION FEES CATEGORY 15th Jan 2019 to 15th June 2019 15th June 2019 OnwardsSpot Registration (Cash Only) Amount Amount Duplex US in Pelvic Congestion Syndrome 1,800/- 2,000/- Renal Duplex Ultrasound in Refractory HTN 1,800/- 2,000/- Hands on EVAR/TEVAR Devices and Procedures 1,800/- 2,000/- Simulation Workshop for Peripheral Intervention 1,800/- 2,000/- IVUS in Deep Vein Intervention 1,800/- 2,000/- IVUS, OCT, and Rota Ablation 1,800/- 2,000/- Ultrasound Guided Arterial and Venous Puncture Workshop 1,800/- 2,000/- Multilayer Flow Modulator Workshop 1,800/- 2,000/- Workshop on Office Based Vein Practice 1,800/- 2,000/- Trancecatheter Aortic Valve Implantation 1,800/- 2,000/- Podiatry Workshop 1,800/- 2,000/- Screening of Radiation Induced Cataract 1,800/- 2,000/- Vascular Access - Device Closure 1,800/- 2,000/- Interventional Nephrology Workshop 1,800/- 2,000/- CT & MR Workshop 1,800/- 2,000/- APVS Technician/Nurses Programmme 1,800/- 2,000/- Yoga Workshop 1,800/- 2,000/- ACCOMMODATION Note : a) Room request for non-registered delegates shall not be entertained. b) All attendees (Delegates/Fellows/Nurses/Technicians/Industry Professionals) requiring accommodation must pay for their stay. Select the type of room you require : Single Occupancy (11000/Night) Number of Rooms 1 2 3 Number of Nights 1 2 3 Double Occupancy (6500/Night) Number of Rooms 1 2 3 Number of Nights 1 2 3 Registration Amount* : Accommodation Amount : Total Amount : Note : Registration form for Fellows has to be accompanied by a letter from the HOD or counter signed by the HOD. PAYMENT Pay Online by Credit Card / Debit Card / Net Banking For OFFLINE payments, please send the Demand Draft/Cheque/NEFT in favour of :- Beneficiary Name : Asia Pacific Vascular Society Bank Name: Axis Bank, Jasola, New Delhi Pan No.: AADTA2034R Account No.: 911010028201409 IFS Code: UTIB0001148 Swift Code: AXISINBBA36 MAIL YOUR FORM TO: Dr. (Prof.) N. N. Khanna MD, DM, FRCP (Lond.), FRCP (Glasg.), FRCP (Edin.), FACC (USA), FSCAI (USA), FESC, FCSI, FICC Organising Chairman & Secretary, APVIC – X Sr. Consultant Interventional Cardiology & Vascular Interventions Coordinator - Vascular Services Advisor - Apollo Group of Hospitals Indraprastha Apollo Hospital Delhi - Mathura Road, Sarita Vihar, New Delhi – 110076 Conference Secretariat mobile : +91-8447310885, 011-29871899 E-mail : contact@apvs.in, www.apvic.com, www.apvs.in Endorsed By
