Registration Form for HEADS UP International Update in Head and Neck Pathology and Computational Pathology 2020

Fields marked with an * are required

Dates

Head and Neck Pathology CME Computational Pathology CME Both the CMEs
On or before PG student Others PG student Others PG student

Others

1st October 5000 6500 1000 1500 5750 7500
1st January 6000 7500 1500 2000 6750 8500
2nd January onwards  7000 8500 2000 2500 7750 9500

Note: PGTs need to provide a PGT proof from the concerned HOD of the Institution.

Bank details:

Payee / Cheque Name: TATA MEDICAL CENTRE TRUST

Bank Name: HDFC BANK LIMITED

Bank Account No.: 00601660000021

Bank Account Type: SAVINGS ACCOUNT

Bank Branch: FORT MUMBAI

Bank Address: Fort Mumbai, Manekji Wadia, Building, Ground Floor, Nanik Motwani Marg, Mumbai-400001

IFSC Code: HDFC0000060

MICR No: 400240015

Swift Code: HDFCINBB

Department of Pathology @ Tata Medical Center, Kolkata, India