17TH REGIONAL SOCIETY OF ANATOMISTS MEET-2018 ( & TELANGANA) (Chapter of Anatomical Society of ) 7th & 8th July, 2018 REGISTRATION FORM (To be filled in capital letters)

Name: Dr./Mr./Mrs...... Position : ...... Department & Full Address of the Institute ...... Email: ...... Mobile/LL no.: ......

Participant Details: Life Member Ordinary member Assoc. Delegate

PG UG Life membership No: ______Payment Details: DD No ...... Drawn Bank...... Date...... Amount (Rs.) ...... Signature of the Applicant: ......

Mode of Fee Payment: Demand Draft (DD) in favour of “M/S 17TH RSA MEET-2018”, payable at Andhra Bank, Dhanalakshmipuram Branch, , AP - 524002. Current Account No.: 183411100000803 (15 digits); IFSC code: ANDB0001834 (last seven digits are numerical) Please mention your name and contact number on the back side of DD; attach a NEFT copy for fund transfer. NOTE: A common DD for all the delegates from single college may be sent with details and covering letter.

Filled-up Registration Form along with DD / Payment details sent to Dr. L. Hema, Organizing Secretary, 17th RSA MEET-2018, Professor & Head, Department of Anatomy, Narayana Medical College & General Hospital, Chinthareddy Palem, Nellore, Andhra Pradesh – 524003. Mobile: +91-9160324999; 9573214639 Email: [email protected] PLACES TO VISIT IN NELLORE Some of the famous places in Nellore to visit are Sri Thalpagiri Ranganadha Swamy temple; Sri Mulasthaneswara Swamy temple; Jonnawada Kamakshi temple; Narasimhakonda Sri Lakshmi Narasimha Swamy temple; Penchalakona Sri Penusila Narsimha Swamy temple; Kasumuru Masthan Vali Dargah; Port; Satish Dhawan Space Centre for rocket launching; Koduru & Mypadu beach; Udayagiri Fort; Nellapattu Bird Sanctuary and Pulicat Lake, etc which would be a sure delight for the visitors.

FOR ACCOMADATION (please contact the following hotels directly) 1. Hotel Athidhi Grand – 0861-2350111, 222, 333 2. D.R. Uttham Hotel – 0861-6621111 3. Hotel Pavani Residency – 0861-2313233 4. Hotel Yesh Park – 0861-2356009; 2356007; 2356008 5. Minerva Grand Nellore – 0861-2358888 6. Bhavani Guest Inn – 0861-2346209 7. PVR Guest Inn – 8500699652 8. CSR Guest Inn – 9885881159

OTHER PARTICULARS 1. All the delegates are requested to inform the organizing committee regarding your mode of arrival and place of accommodation. 2. Please note – keep a photocopy of the filled-up registration form and the photocopy of the DD or NEFT details for your record. 3. Ensure that your name and contact number is endorsed on the reverse side of the DD. 4. All the teaching staff and postgraduate students of Anatomy are eligible to register as delegates. Membership of RSA is mandatory for all delegates to present a paper. 5. Delegate name/s in the registration and abstract form must be same, so that the same particulars will be printed in the certificates. No changes in the name of delegates are entertained during conference days. 6. Xerox copies of the forms can be accepted. 17TH REGIONAL SOCIETY OF ANATOMISTS MEET-2018 (ANDHRA PRADESH & TELANGANA) (Chapter of Anatomical Society of India) 7th & 8th July, 2018 ABSTRACT FORM

Presenting Author Name (in capitals): ...... College Address: ...... Title of Scientific paper:...... Category under which the paper is to be considered ...... (Anthropology; Embryology; Genetics; Gross anatomy; Histology; Medical Education; Morphology; Museum Techniques; Neuroanatomy; Radiological anatomy; Teratology)

Type of Presentation: ORAL POSTER RSA COMPETITIVE CATEGORY Dr. Lily N Ebenezer Memorial Award for the best paper in Medical Education Dr. Rajendra Babu Award for the Best Poster Presentation ABSTRACT GUIDELINES 1. Abstracts accepting format-CD or Softcopy 2. Font-Arial font; 12 size; double spaced; black colour 3. TITLE OF THE ABSTRACT must be in Bold & Upper-Case. 4. PRESENTING AUTHOR should be bold and underlined. 5. Structured abstract should include background, aims, material & methods, results, discussion and conclusion. 6. Abstract should not exceed 250 words. 7. Poster dimensions: 3(L) X 4(W) 8. Abstract(s) to be sent to [email protected] 9. Acknowledgement will be notified through email. 10. For Competitive Categories-any info on sending award papers, please contact, Dr. Muralidhar Reddy Sangam, General Secretary of RSA, HOD of Anatomy, NRI Medical College, Chinnakakani, Guntur, Andhra Pradesh - 522503; Email: [email protected]; Mobile: +91-9440668501; last date for acceptance of award papers - 15th May, 2018. 11. Only LIFE-MEMBERS can compete in Award Papers

Last date for submission of abstract – 15th May, 2018 Abstract Form and Abstracts sent to Email: [email protected]