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Sri Balaji Vidyapeeth
Mahatma Gandhi Medical College & Research Institute
Pillaiyarkuppam, Pondicherry - 607 402
National Seminar and CME on
Therapeutic Potential of Yoga
Organized by Centre for Yoga Therapy, Education and Research (CYTER) and
Department of Physiology, MGMC & RI
Friday, 26 June 2015
Ground Floor Lecture Hall, College Block, MGMC & RI, Pondicherry
Registration Form
Name: …………………………………………………………………………………….…………………………………………..….……….……
Designation: ……………………………………………………...………….……………………………………….………………….………….
Mobile: ….………………..……………………………………… E. Mail:. ……………………………….……….……………………..……
Address:………….…………………………………………………..…………….…………………….…………………..……………….………
..…..….………..……………………………..………………………………….…………………………….………………………………….
………………………….……….………………………………………….…………………………………………….………………………….
…………….
Payment details: DELEGATE (Rs 600), STUDENT (Rs 300)
………………………………………………………….………………………………………………………………..………………………..….…..
Signature ……………………………………………………………..……. Date…………………………………………..………….
The National Seminar and CME is accredited and awarded 2 credit hours by Tamil
Nadu Medical Council & 10 credit points by Tamil Nadu Dr. MGR Medical University.
Bank name: INDIAN BANK, Kirumampakkam Branch (913), Pondicherry
Account name: Department of Physiology MGMC & RI
Account number: 6272947821 IFSC Code: IDIB000K087

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Registration form for the National seminar cum CME on “Therapeutic Potential of Yoga” at MGMCRI on June 26th.

  • 1. Sri Balaji Vidyapeeth Mahatma Gandhi Medical College & Research Institute Pillaiyarkuppam, Pondicherry - 607 402 National Seminar and CME on Therapeutic Potential of Yoga Organized by Centre for Yoga Therapy, Education and Research (CYTER) and Department of Physiology, MGMC & RI Friday, 26 June 2015 Ground Floor Lecture Hall, College Block, MGMC & RI, Pondicherry Registration Form Name: …………………………………………………………………………………….…………………………………………..….……….…… Designation: ……………………………………………………...………….……………………………………….………………….…………. Mobile: ….………………..……………………………………… E. Mail:. ……………………………….……….……………………..…… Address:………….…………………………………………………..…………….…………………….…………………..……………….……… ..…..….………..……………………………..………………………………….…………………………….…………………………………. ………………………….……….………………………………………….…………………………………………….…………………………. ……………. Payment details: DELEGATE (Rs 600), STUDENT (Rs 300) ………………………………………………………….………………………………………………………………..………………………..….….. Signature ……………………………………………………………..……. Date…………………………………………..…………. The National Seminar and CME is accredited and awarded 2 credit hours by Tamil Nadu Medical Council & 10 credit points by Tamil Nadu Dr. MGR Medical University. Bank name: INDIAN BANK, Kirumampakkam Branch (913), Pondicherry Account name: Department of Physiology MGMC & RI Account number: 6272947821 IFSC Code: IDIB000K087