Online Registration Form

A

FELLOWSHIP
COURSE
FALS HERNIA
Course Fees GST Total
1st September on wards 25,000/- 4500/- 29500/-

B

ONLY CME AND LIVE WORKSHOP (Non Fellowship)

Fees GST Total
IAGES Members 8,000/- 1440/- 9440/-
IAGES Non Members 12,500/- 2160/- 14160/-
Accompanying persons 8,000/- 1440/- 9440/-

Note: Non-IAGES members cannot apply for the fellowship. They can attend the CME & Workshop only.

  • Cancellation Policy : Refund request must be submitted in written. 50 percent refund if applied by 15-9-2018. No refund thereafter.
         All refunds can be made 90 days after the conference.

Topic preference for "Meet the Professor" : 27/10/2018 (Please tick any one)

Professional Qualifications:

Professional Experience:

Year of Starting Laparoscopic Surgury for Abdominal Wall Hernia:

Total No. of Laparoscopic Surgury for Abdominal Wall Hernia Done so Far:

Total No. of Laparoscopic Abdominal Wall Hernia Surgury Assisted or Done Under Supervison:

Log Book of Laparoscopic Abdominal Wall Hernia Procedures:

DVD of Laparoscopic Surgury one each of Inguinal and Ventral Hernia Repair:


For Contact Details

Conference Secretariat :

Dr. Sunil D. Popat

Organising Chairman

Nidhi Hospital

Stadium Commerce College Road, Navrangpura, Ahmedabad - 380 009.

Tel. : 079-4023 21 25, 2642 66 31 ● M. : 80006 22061, 98250 09199

Email: [email protected], [email protected]

Web. :www.falshernia2018.com ● www.nidhihospital.org



Conference Secretariat:

Dr. Sunil D. Popat

Organising Chairman
MS. FRCS (Edin), FICS (USA).
FALS, FIAGES, FAIS, FMAS

Nidhi Hospital

Stadium Commerce College Road,
Navrangpura, Ahmedabad - 380 009.
M.: 80006 22067, 98250 09199

E-mai: [email protected],
[email protected]