Event Registration Form           Name     Sirname     Address     City     Pin     Phone (s)     Fax     Email:       Please Select the dates Obesity Days Nov 18, 06 Sat   Nov 19, 06 Sun World Piles Day Nov 20, 06 Mon Total Lap. Hystrectomy Day Nov 21, 06 Tue Infertility day Nov 22, 06 Wed Global Endo-Skills Courses Nov 22, 06 Wed   Nov 23, 06 Thu   Nov 24, 06 Fri Hernia Days Nov 25, 06 Sat   Nov 26, 06 Sun   Participation Fee (Per Day) Upto Oct 31, 2006 Rs. 500/- Upto Nov 17, 2006 Rs. 1000/- Spot Rs. 1500/-