Registration Form Advisory & Technical Committee 1st National Convention Name: Dr. Devender, Banda ,Professor, Texas Tech Univ (USA), Air Marshal Denzil Keelor, CEO, Special on Severe Intellectual & Father’s Name: Olympics Bharat (SOB), Dr. Commander Kartikey Saini, Chairman, SOB, Dr. Reena Kumar, Asia Multiple Disability, 2016 RCI Regd. No. Pacific Clinical Director, Special Olympics, Dr. (Bhimtal, Nainital) Jayanti Pujari, Director, AIRS, Amity University, Sex: Male/Female Noida, Dr. Subodh Kumar, Deputy Director, RCI. 26 June 2016 Dr. Mousumi Bhaumik, Officer Incharge, NIMH, Special Olympics Qualifications: Navi Mumbai, Mr. Suman Kumar, Deputy Direc- tor, RCI, Mrs. Saswati Nanda, Area Director, SOB Motor Activities Training Program (UP), Dr. Ranjana Ruhela, Principal, SOS JN Kaul Experience: Institute of Education, Dr. Madhavi Awasthi, Direc- 27-28 June 2016 tor, Sambhav, Rudrapur National Conference on Designation: Chair of Advisory Committee Forgotten Citizens: Improving Life Shri S.K. Srivastava, for People with Severe Intellectual Institution/School: Member Secretary, RCI, New Delhi, and Multiple Disabilities Address: Chair of Scientific Committee Jointly Organized by Dr. Himangshu Das, Special Olympics Bharat Director, NIEPMD, Chennai, (Uttar Pradesh & Uttarakhand) Chair of Organizing Committee And Prof. (Dr.) Amitav Mishra National Institute for the Empowerment of Email ID: [email protected] Persons with Multiple Disabilities, Chennai Address for Correspondence With CRE Status* from WhatsApp No. Program Manager, Special Olympics Bharat Rehabilitation Council of India, New Delhi Mobile No. B-314, Tulip Grand, Pilibhit Bypass Road, Bareilly, 243006 (UP) In Partnership with Registration Fees: Rs.___________ (A) Tel: 0581-6061001, 9760646099, 9557757487 SOS JN Kaul Institute of Education, Bhimtal Email: [email protected] SOS Children’s Villages International (India) Accommodation Required: Yes/No [email protected] Hotel Name: Accommodation charge: Rs ____________ (B) Details of Payment (A+B):. DD/Cheque No. Date: Cash Receipt No. Date: Signature *Under Process National Conference on Forgotten Citizens: Improving Life for People with Severe Intellectual and Multiple Disabilities Who can participate? Conference Venue Welcome to Bhimtal (Nainital) Auditorium of SOS JN Kaul Institute of Education, Professionals from Special Education/Rehabilitation, Bhimtal is a picturesque hill station having beau- Bhimtal, Nainital, Uttarakhand tiful lake centered amidst green mountains. (Including Therapeutic Professionals including Occupa- Bhimtal unlike Nainital as is a quite and peace- tional Therapists & Clinical/Rehabilitation Psycholo- Working Lunch & Kit ful place which adds charm to holidaying at gists), Health Care Professionals having experience of Conference kit and working lunch/Tea/Snacks shall here. During summer, the temperature varies working with severe intellectual and multiple disabilities be provided during conference i.e. 27-28 June 2016. 15c to 28c. Nainital is 20 kilometers from here. are welcome to participate in this national deliberation. Accommodation The convenient airport is Delhi and has regular Coaches, volunteers and administrators of Special Olym- Stay is arranged in 3 beautiful Hotels near the lakes Volvo buses (296 Km) and trains (Nearest sta- pics Programs are encouraged to participate. Parents and of Bhimtal– as shown below on a nominal payment tion is Kathgodam). From Kathgodam, Bhimtal persons having severe intellectual and multiple can also for the delegates only. Check-in 11.00 am onwards on is about 22 kilometers. (Nearest Airport Pantna- be part of the conference. CRE point of 12 shall be ap- 26th June 2016 and check-out on 28th June 2016 (by plicable to RCI registered professionals only. gar which is about 40 km from Bhimtal) 11.00 am). Any change please be intimated in ad- vance and resolved. Technical Sessions The National Conference Besides inauguration and valediction sessions, there Concessional Accommodation Charges The most vulnerable and neglected group shall be 6 technical sessions: If you wish you can book your accommodation amongst the persons with disabilities are those I: Challenges with group having severe intellectual and through us at the following concessional rates. Due to have severe intellectual and multiple disabilities. multiple disability; peak season, it is difficulty to get accommodation. Their participation in various activities in the II Motor Activities Training Program (MATP); Anything you order other than breakfast shall be paid community is also limited. Compared to other III :Applied Behaviour Analysis for Persons with severe by you . groups having intellectual disability, those with intellectual and multiple disability; severe intellectual and multiple disability are IV: Health Care; Hotels Charges for 2 Nights Per Person in Twin seen having less participation in sports and also V: Development of social, personal and life skills;. Sharing Basis with Breakfast have health issues. The conference shall deliber- VI: Respite care, geriatric care and housing. Cut Off Dates Till 07 June Till 20 June ate on improving health, social and personal Delegates Extra Delegates Extra Request for Paper Presentation skills besides effective use of applied behavioral Person Person analysis as well as shall have presentations and You are requested to present a paper, based on a case discussions on sports. care giving and respite study, outcomes of a project and work done in improv- Green Wood 1200 1400 1500 1800 care. ing quality life of people with severe intellectual and Hotel (1 Star) multiple disability. If abstract selected for presentation, Objectives the author(s)(only single person) shall be paid with AC Hotel Maya Re- 1800 2000 2500 2800 1. To overview various issues related to gency (2 Star) III Train fare and stay charge (as paid by you) shall also groups having severe intellectual and multi- be reimbursed. However registration amount shall not be Royal Rosette (3 2400 2600 3000 3300 ple disabilities; refunded. Please choose a scientific session in which you Star) 2. To find out challenges are being faced by can present your paper. You shall be provided 10 min- the group in sports, health care, maintaining utes for presentation and 5 minutes for discussion. Registration Fee desired personal and social skills; Delegation fee (Rs. 1000/ -till 07 June; Rs. 1500/- Kindly email the abstract in 200 words by 7 June 2016 to 3. To highlight various sports and health pro- from 8 to 20 June and Rs.2500/ from 21 June on- [email protected] . Acceptance of wards) must be paid through DD/Cheque in favour of motion activities are provided by Special abstract shall be confirmed within 5 days of submission. Olympics; Special Olympics Bharat (UP) along with accommo- An early booking of tickets is advised. 4. To discuss and resolve issues related to their dation charges. One may pay deposit through RTGS/ respite care, geriatric services, housing and Schedule IFSC : UTIB0000126, Bank: Axis Bank Ltd, Branch: 26 June 2016 (1.30pm to 3.30 pm): Special Olympics acquiring life skills including recreation; Lajpat Nagar, New Delhi in A/C No. Sports and Healthy Athlete Fest 5. To highlight application of Applied Behav- 126010100266925 of Special Olympics Bharat (UP) 27 June 2016 (9.00 am to 3.00 pm) Conference starts iour Analysis with the group having severe and send scan copy of the pay slip for confirmation. 28 June 2016 (9.00am to 1.00 pm) Conference ends intellectual and multiple disabilities. .