Asia-Oceania Conference on Obestiy 2009

# Please read the help and general instructions carefully before completing this form.

Online registration can only be used if you are making payment by credit card (Visa/MasterCard/AMEX).
All credit card payments will be charged in INR (Rupees).
If you are paying by any other method, please download the registration form and fax it to Secretariat Office (Fax No._+91 22 22029424) or mail it to:
Irfan Merchant .
Travel Corporation (India) Ltd.
1st Floor, Chandermukhi Building
Nariman Point, Mumbai – 400 021 India.
All fields marked (*) must be completed in order to continue.

After registration you will get a login name and password. If you have not filled details on accompanying person, hotel accommodation, tours you can access the form and fill in later.

All correspondence relating to the Congress will be mailed to the address given below.

* Compulsory fields

Title:

Family Name: *

First Name: *

Middle Name (if any)

Department (if applicable):

Hospital / Institution:

Address line 1: *

Address line 2:

City: *

Zip / Postal Code:

Country: *

Telephone: *

(including country code)

Mobile:

Fax:

(including country code)

Email: *

(your acknowledgement will be sent here)

How do you want your
Name on badge

Membership Status

I am an existing AIAARO / IDA member *

Membership No:

I am a member delegate *

Membership No:

I am a non-member delegate from SAARC nations

I am a non-member from other countries

I am a Student **

* Members
Any member of National Obestiy Society affiliated to International Associations for Study of Obesity (IASO) and any member of Supporting Asscociaions listed on the homepage.

* *Students
Please note that there are a limited number of "Students" places available and these will be allocated on a first come, first served basis. In order to qualify for the "Students" fee you must submit a letter from your head of department, supervisor or organisation confirming your status. Students registration does not include conference dinners.

Courses

Obesity Certificate Course

Metabolic Surgery Master Class

None of the above

Summit

Metabolic Surgery Summit

(Complimentary for faculty and Metabolic Surgery Master Class participants)

Accommodation Booking

Check this box, if you want to book your accommodation now. If you don't book it now, you can sign in later with your login details and can book it then.

Accompanying Persons