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CIDCO Exhibition & Convention Centre, Navi-Mumbai Host : IPS Thane Branch
Psychiatry Society of Thane (Regd.)Sahyadri Hospital, Birla College Road, Kalyan, Dist. Thane - 421301.
Ph: 9326791129 • www.ipswzb.net • Email : [email protected]
50�� ACIPS-2019ANNUAL CONFERENCE OF INDIAN PSYCHIATRIC SOCIETY WESTERN ZONAL BRANCH
11 | 12 | 13 October 2019
Golden Jubilee
through
M E N T A L H E A L T H
Transforming Lives
Indian Psychiatric Society, Western Zonal BranchExecutive Committee - 2018-19
Indian Psychiatric Society, Thane BranchExecutive Committee - 2019
President Secretary V.P. & President ElectDr. Deepak Rathod� Dr. Fabian Almeida Dr. Rakesh Ghildiyal
Treasurer Imm. Past President Imm. Past SecretaryDr. Madhuri Shinde� Dr. Sanjay Kumawat Dr. Shailesh Umate
Executive Members:Dr. Sundeep Jadhav� Dr. Vishal Sawant� Dr. Anjali DeshpandeDr. Varsha Dawani� Dr. Sagar Karia� Dr. Shama Rathod
th50 Annual Conference of IPS-WZB - 2019Organizing Committee & Sub Committee Chairpersons
Chairman Co-Chairman Co-ChairmanDr. Deepak Rathod Dr. Sanjay Kumawat Dr. Sundeep Jadhav9324765206 9821066077 9821028397
Secretary TreasurerDr. Fabian Almeida Dr. Madhuri Shinde9702713040 9850495937
Scientific Finance VenueDr. Sanjay Kumawat Dr. Sundeep Jadhav Dr. Rakesh Ghildiyal Dr. Shreekant Joshi Dr. Adwait Padhye Dr. Shama Rathod
Cultural Registration StageDr. Vishal Sawant Dr. Shailesh Umate Dr. Anjali DeshpandeDr. Vishakha Rathod Dr. Shilpa Parhar
Hospitality MH EducationDr. Varsha Dawani Dr. Manjusha RathodDr. Sagar Karia Dr. Bhushan Patil
President� Secretary V.P. & President ElectDr. Rajesh Dhume� Dr. Ashish Srivastava� Dr. Deepak Rathod
Treasurer� Imm. Past President� Imm. Past SecretaryDr. Pawan Adatiya� Dr. Vijay Nagecha� Dr. Jay Shastri
Hon. EditorDr. Neena Sawant
Executive Members : Dr. Bharat Sarode� Dr. Sudhir Bhave � Dr. Parag ShahDr. Nitin Dalaya� Dr. Kshirod Mishra � Dr. Umesh Nagapurkar Dr. Monali Deshpande
Representative to Central Council :Dr. Vivek Kirpekar� Dr. Arun Marwale
Representative from State Branch :Dr. Ninad Baste � Dr. Wenona Fernandes� Dr. Sandeep Shah
Subcommittee Chairpersons :Awards: � CME: � Conference: Dr. P. M. Chougule Dr. Henal Shah Dr. Kaushik GupteMembership: � Website: � Psy. Education: Dr. Deepak Rathod Abhijeet Faye Dr. Ravindra Kamath
: Dr. Mukesh Jagiwala Dr. Malay Dave Dr. Ajay ChauhanConstitution �Quiz: � MH Awareness: �Research: Dr. Nilima Shah
Conference Secretariat:Psychiatry Society of Thane (Regd.),
Sahyadri Hospital, Bhoirwadi Bus Stop, Birla College Road, Kalyan, Dist. Thane - 421301
Ph: 9326791129 • www.ipswzb.net Email : [email protected]
https://www.facebook.com/50th-Annual-Conference-Ipswzb-Oct-2019-Navi-Mumbai-484103225450125
OUR VERY OWN CONFERENCE
When we think of ACIPS, heady, festive days just around Dussehra and Mental Health Week come to our mind. It comes as an opportunity to sharpen our clinical skills, explore new locales and savor the flavor of the land. We at Thane are on a high this year, as the annual flagship event of west zone is on its maiden trip to the most happening district of India.
IPS-WZB, the best zone of India, was built over the years by stalwarts from all three states of Maharashtra, Gujarat and Goa. Let's come together and talk about its illustrious history and promising future.
Over the years, Thane which was historically the 'Centre of Garrison' has grown to be the demographic centre of Mumbai Metropolitan Region. With its open, diverse and all-embracing culture it is the apt place for the Golden Jubilee extravaganza ! The venue with auditorium, multiple air-conditioned halls and ample parking area, is an architectural marvel spread over 13 acres. It is connected with other cities by well-planned roads and suburban rail. Just a 35 minute drive (21km) from Mumbai Airport, the venue is just opposite Vashi Station and very near to leading malls and top hotels.
As we celebrate our Golden Jubilee with multiple add-on symposia for non-psychiatric health professionals and public, the theme “Transforming Lives through Mental Health”rededicates ourselves to the nation. Team IPS Thane promises to bring a smile to your face and a rush of warmth to your heart.
Welcome to Navi-Mumbai, Dist. Thane.
LONG LIVE IPS
Yours Sincerely,
Organizing Committee Members
DELEGATE REGISTRATION IS NOW OPEN ONLINE
https://goo.gl/forms/tolv43NhlC2SRCMY2 or
Use Registration form enclosed with this communication.
Please note that “Early Bird” discount is valid only for Payments
received till 31st March 2019. For fees schedule see last page.
For hotel rooms contact our hospitality partner.
Details for NEFT/RTGS: �thAccount Name: 50 Annual Conference IPSWZB C.A. NO. 012011100000932
THE KALYAN JANATA SAHAKARI BANK LTD. KHADAKPADA BRANCH IFSC-KJSB0000012
Hospitality Partner : "BTraveltrip”203, Chawla Complex, Sect-15, CBD Belapur, Navi Mumbai - 400614Ph: +916394158568, +912249705654Visit www.BTraveltrip.in Email: [email protected]
Category Early BirdUp to 31 Mar 2019
Regular1 Apr to 31 May 2019
Late1 Jun to 15 Aug 2019
Spot16 Aug onwards
IPS MEMBER Rs.6200* Rs.8200* Rs.10200* Rs.13200*
NON MEMBER Rs.8200* Rs.10200* Rs.12200* Rs.15200*
ACCOMP. PERSON Rs.5000 Rs.6500 Rs.8000 Rs.9000
PG STUDENT** Rs.4700* Rs.5700* Rs.6700* Rs.8700*
SENIOR MEMBER*** Rs.200* Rs.8200* Rs.10200* Rs.13200*
*Rs. 200 Contribution towards IPSWZB included � **Enclose Letter from HOD ***Above 65 years. Please enclose age proof. � N.B.: Corporate Delegate fees is Rs.35000
Registration Fees Schedule:
TH50 ANNUAL CONFERENCE OF IPS-WZB
Venue: CIDCO Convention Centre, Navi Mumbai.�11 | 12 | 13 October 2019
Host: Indian Psychiatric Society, Thane Branch
DR. /MRS. /MS.
Date of Birth : (Optional for Delegates not availing Senior Citizen Benefit)
Postal Address:
District : State : Pincode:
Email :
Mobile: Whatsapp: Landline:
Delegate Category: IPS MEMBER / PG STUDENT / NON MEMBER / CORPORATE
IPS Membership No.:
Medical Council No. MCI / MAHA / GUJ /GOA
thCheque payable to “50 Annual Conference IPSWZB”.
Date: Amount: Rs.
Cheque /Transaction No: Bank:
NEFT/RTGS: C�URRENT A/C NO. 012011100000932, �� IFSC-KJSB0000012 �� THE KALYAN JANATA SAHAKARI BANK LTD. � KHADAKPADA BRANCH
REGISTRATION FORM (PLEASE FILL IN UPPERCASE)
REGISTER ONLINE: https://goo.gl/forms/tolv43NhlC2SRCMY2
Conference Secretariat:Dr. Deepak Rathod, Sahyadri Hospital, Bhoirwadi Bus Stop, Birla College Road, Kalyan.
Dist. Thane - 421301 Ph: 9326791129 • Email: [email protected] https://www.facebook.com/50th-Annual-Conference-Ipswzb-Oct-2019-Navi-Mumbai-484103225450125
Payment Details:
Details of Accompanying Persons:
S.N. ��� NAME ��� RELATIONSHIP ���� AGE
1.
2.
3.
���LAST NAME ��� FIRST NAME ��� MIDDLE NAME