v DELEGATE REGISTRATION FORM VENUE ENT Department, Medical College, Online registration: www.aoikerala.in/midterm alm Grove holidays resort & P (beside the famed backwaters!) Kottayam ENT Club Name: ______(Under the Aegis of AOI Kottayam) Address: ______Welcomes you to Kottayam for the ______

Medical Council Reg. No.: ______

Mobile: ______

E-mail: ______

Registration (Rs.): ______BANQUET & CULTURAL NIGHT @ ■ Cash ■ Cheque / DD ■ Bank Transfer *

Cheque/DD/Bank Transfer Ref. No: ______

Bank & Branch: ______Cheque/DD may be drawn in favor of “Kottayam ENT Club AOI STATE MID-TERM CONFERENCE (KENTCLUB)” payable at Kottayam. Please add Rs. 40/- v extra for non-core banking cheques. 18 - 19 APRIL, 2020 For Bank Transfer: A/c Name : Kottayam ENT Club (KENTCLUB) Surgical Mastercourse : A/c No : 0922053000000413 idas kallukunnu resorts Virtual live surgeries Bank Name : South Indian Bank Branch : St. Thomas Hospital, Chethipuzha, Kottayam (famed movie filming location!) M Exciting 2 days of video tour into otorhinolaryngology! IFSC Code : SIBL0000922 * CONFERENCE SECRETARIAT Bank Transfer - Kindly mention your name in remarks »» Elaborate discussion on unedited/partially edited section. Dr. Rajeev Kumar M, surgical videos Department of ENT »» Unabridged detailing by doyens of each sub-spe- Delegate Fees including Banquet (INR): ciality Before 31 Mar After 01 Apr/Spot Govt. Medical College, »» Critical analysis & inputs by eminent moderators Delegate* 3500 4000 Kottayam - 686 008 PG Student* 3000 3500 , . POST-GRADUATE PAPER / POSTER PRESENTATIONS  Extra Banquet 1600 : +91 - 94961 15137

* Conference kit not guaranteed for spot regista-  : [email protected] Block your dates today! tions. For PG students, letter from HOD is required.  : www.aoikerala.in/midterm AOI KERALA STATE HOW TO REACH

President Secretary Dr. Sahir Abdulla Dr. Paul Samuel

AOI KOTTAYAM CHAPTER

President Secretary Dear friends, Dr. Kuncheria Thomas Dr. Shajul George Greetings from Kottayam! ORGANIZING COMMITTEE Welcome to the land of letters, lakes & latex. We are indeed proud to hoist the mid term con- Organizing Chairman: Organizing Secretary: ference of AOI Kerala State, 3rd year running. Dr. Shibu George Dr. Rajeev Kumar M By air: via Cochin International Airport (85 km) By rail: Central theme of the conference is surgical. We have Scientific Committee: Joint Secretary: via Kottayam Railway Station (4 km) By road: KSRTC (Local Govt. Bus Station) (3 km) decided to make it unique by dedicating this exclu- Dr. Asha CS Dr. Rajalakshmi K sively for a virtual live surgery workshop; discus- Buses and taxis are easily available at all times of the day from Dr. Aneesh P Azeez Kottayam. Registration starts at 8:00 AM sion of unedited or partially edited surgical videos. STAY Doyens of each sub-specialty would be presenting their Treasurer: Location Hotel / Resort Rate* (Rs.) surgical videos. Discussion of critical steps & analysis Dr. Vineeth G Kottayam Windsor Castle 3900 would be ably complemented by eminent modera- Aida 3000 tors ensuring maximum audience interaction. This Convenors: Arcadia 3450 would be in tune with the trend world over to phase Dr. Vinod Jose Kakkanat Taj Kumarakom 10000 out live surgery workshops. The conference plans to Dr. Rajesh Kumar bring together brighter minds to give deliberations Dr. Vivek Sasindran Zuri Kumarakom 9750 that are subject-focused on direct surgical learning. Aveda 8250 Backwater Ripples 6500 There would also be separate sessions for Advisors: Paradise resort 5000 post-graduate prize paper & poster presentation. Dr. P Prathapan Nair Dr. Joe Jacob Dr. John Mathai Dr. Mammen Philip Green fields/Royal Retr 3500 The conference banquet is scheduled at the pictur- Dr. Rajan KV Dr. Sadarudeen Ahmed * Special rates: The above are discounted rates, inclusive of esque Midas Kallukunnu resorts on 18th evening Dr. Mathew Chooracken Dr. Pushpakumari KP all taxes, per room on twin sharing basis, including children 5PM onwards; this should be the perfect getaway to Dr. Antony Joseph Dr. James Isac below 5 years (without extra bed). Extra person above 5 years unwind & relax admist the voracious academic feast. chargable. Maximum 4 persons/room can be accomodated on Dr. ND Scariachan Dr. Ike Thomas chargeable basis. Conference registration NOT included! Breakfast and Dinner included. Please do come over to Kottayam dear all & enjoy our hospitality! For reservations: Please contact our travel agent at the earliest: Mr Rajesh Kaimal  +91 8281937320/ +91 8547336859  [email protected]