<span style="font-family: 'arial black', 'avant garde'; font-size: 12pt;">Tenth A</span><strong style="color: #222222; font-family: Arial, sans-serif; font-size: 14.6667px; text-align: justify;"><strong style="color: #222222; font-family: Arial, sans-serif; font-size: 14.6667px; text-align: justify;"><span style="font-family: 'arial black', 'avant garde'; font-size: 12pt;">nnual CME for Medical Practitioners&nbsp;<br /></span>Date: 25<sup id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2143">th</sup>&nbsp;November 2018 (Sunday)&nbsp;<br />Time: 8:00 am to 5:00 pm&nbsp;<br />Venue: India Habitat Centre, New Delhi<br /><br /><br /><br /></strong></strong> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2163" style="font-size: small; font-weight: 400; font-family: Arial, Helvetica, sans-serif; text-align: left;"><span id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2164" style="font-family: Arial, sans-serif;"><span id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2165" style="font-size: 14.6667px;"><strong id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2166">Contact No. 9650066694<br /></strong></span></span> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2167" style="font-size: small; font-weight: 400; font-family: Arial, Helvetica, sans-serif;"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2172" style="font-size: small; font-weight: 400; font-family: Arial, Helvetica, sans-serif; display: inline !important; text-align: center;"><span id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2173" style="font-family: Arial, sans-serif;"><span id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2174" style="font-size: 14.6667px;"><strong id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2175">Email ID: sgrhcme@yahoo.com</strong></span></span></div> </div> </div> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2172" style="font-size: small; font-weight: 400; font-family: Arial, Helvetica, sans-serif;">&nbsp;</div> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2172" style="font-size: small; font-weight: 400; font-family: Arial, Helvetica, sans-serif;">&nbsp;</div> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2176" style="font-size: small; font-weight: 400; font-family: Arial, Helvetica, sans-serif;"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2177" dir="ltr"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2178" dir="ltr"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2179"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2180"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2186"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_4492"><strong id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_4493"><span id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_4494" style="font-size: 12pt;">Dr. Harbansh Lal</span></strong></div> </div> </div> </div> </div> </div> </div> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2176" style="font-size: small; font-weight: 400; font-family: Arial, Helvetica, sans-serif;"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2177" dir="ltr"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2178" dir="ltr"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2179"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2180"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2186"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_4496"><em><span id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_4497" style="font-size: 12pt;">Organizing Secretary</span></em></div> </div> </div> </div> </div> </div> </div> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2176" style="font-size: small; font-weight: 400; text-align: left; font-family: Arial, Helvetica, sans-serif;"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2177" dir="ltr"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2178" dir="ltr"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2179"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2180"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2186"> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_4499"><span id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_4500" style="font-size: 12pt;">Chairman, Dept. of CME</span></div> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_4502" dir="ltr"><span id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_4503" style="font-size: 12pt;">Sir Ganga Ram Hospital, New Delhi - 110060<br /><br /></span></div> </div> </div> </div> </div> </div> </div> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2176" style="font-size: small; font-weight: 400; text-align: left; font-family: Arial, Helvetica, sans-serif;">&nbsp;</div> <div id="yiv9268289219yui_3_16_0_ym19_1_1537246607902_2176" style="font-size: small; font-weight: 400; text-align: left; font-family: Arial, Helvetica, sans-serif;"><span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 11px; text-align: center;">&nbsp;____________________________________________________________________________________________________________________________________</span><br style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 11px; text-align: center;" /><br style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 11px; text-align: center;" /><br style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 11px; text-align: center;" /> <div id="yiv4071309642yui_3_16_0_ym19_1_1537770988654_3058" class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" align="center"><strong><span style="color: #0070c0;">Online Registration Form</span></strong></div> <div id="yiv4071309642yui_3_16_0_ym19_1_1537770988654_3062" class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;" align="center"><strong><span style="color: #0070c0;">SGRH Annual CME 2018</span></strong></div> <div id="yiv4071309642yui_3_16_0_ym19_1_1537770988654_3063" class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: right;" align="right"><strong><span style="color: #0070c0;">&nbsp;</span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;"><strong><span style="color: #0070c0;">&nbsp;</span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;"><strong><span style="color: #0070c0;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;"><strong><span style="color: #0070c0;">Delegate Name<br /><br /><br /></span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;"><strong><span style="color: #0070c0;">Address<br /><br /><br /></span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;"><strong><span style="color: #0070c0;">Designation<br /><br /><br /></span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;"><strong><span style="color: #0070c0;">Email<br /><br /><br /></span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;"><strong><span style="color: #0070c0;">Contact Number<br /><br /><br /></span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;"><strong><span style="color: #0070c0;">DMC Reg Number<br /><br /><br /></span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;"><strong><span style="color: #0070c0;">Date (For Official Use Only):</span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;"><strong><span style="color: #0070c0;">&nbsp;</span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;"><strong><span style="color: #0070c0;">&nbsp;</span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif;"><strong><span style="color: #0070c0;">Information of above form should be sent to sgrhcme@yahoo.com</span></strong></div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;">&nbsp;</div> <div class="yiv4071309642MsoNormal" style="margin: 0in 0in 0.0001pt; font-size: 11pt; font-family: Calibri, sans-serif; text-align: left;">&nbsp;</div> <span style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 11px; text-align: center;">&nbsp;____________________________________________________________________________________________________________________________________</span><br style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 11px; text-align: center;" /><br style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 11px; text-align: center;" /><br style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 11px; text-align: center;" /><br style="font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 11px; text-align: center;" /></div>