Register to attend Workshop on "ICT in Healthcare" - April 26, 2012 @ Karachi Expo Centre Details mentioned in the Registration Form*

1. Workshop on ICT in Healthcare
In conjunction with
April 26, 2012 @ Karachi Expo Centre - Pakistan
th
8 Health Asia Int'l Exhibition & Conferences
Registration Form
Registration Fee: PKR 1,500 per participant
Group Discount: PKR 1,000 per participant on 3 or more registrations
*Participant's Name: …………………………………………………………………………………………
*Designation: …………………………………………………………………………………………………….
*CNIC Number: ………………………………………………………………………………………………….
*Affiliation: …………………………………………………………………………………………………………
*Address: ……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
*City: ………………………………………… *Cell: ………………………………………………………
*Telephone: …………………………………….. *Fax: ..……………………………………………………
*Email: ……………………………………………………………………………………………………………….
*Web Address: ……………………………………………………………………………………………………
*Nature of Business: …………………………………………………………………………….…………….
Date: __________________ Signature of the applicant
_______________________
Note: Send the duly filled-in Registration Form with the Cheque or Bank Draft payable to Ecommerce
Gateway Pakistan (Pvt) Ltd. to the mailing address mentioned below latest by April 20, 2012
Workshop on ICT in Healthcare Secretariat
The Xeptionalz
Office #204, 2nd Floor, FL 3/13, Block-5
Gulshan-e-Iqbal, Rashid Minhas Road
Karachi-75300, Pakistan
Tel: (+92-21) 3497-9263, 765-8869| Cell: 0312-3576559
Email: events@thexeptionalz.com | Web: www.thexeptionalz.com
Organizer Workshop Partners Supporters
Sindh Health Department