ABSTRACT SUBMISSION FORM

6th Annual Conference of Uttarakhand State Ophthalmological Society
October 2nd, 3rd & 4th 2009

ABSTRACT SUBMISSION FORM

Presenting Author ………………………………………………………………………………................................................

Mailing Address………………………………………………………………………………….................................................

………………………………………………………………..State……………….………..Pin…….……………………………………………

Tel.: Hospital/Clinic…………………………………………Residence………………………….………………………………………..

Mobile………………………………………………………...E-mail…………………………….………………………………………………

Name of Co-Authors………………………………………………………………..………………………………………………………….

Title of Presentation…………………………………………………………….……………………………………………………………..

Type of Presentation: Free Paper / Poster / Video Film Competitive / Non- Competitive

Subject Category…………………………..….…… Financial Interest Yes/No Signature…………..………………………

(1) Dr. M.C. Luthra Gold Medal - Best Paper Award for original work done and presented by author aged 45 years or less, open to members UKSOS only.

(2) Dr. Satanshu Mathur Award – best Video film open to all life members UKSOS & registered delegate.

Last Date of Submission of Abstract Form is 15th September 2009

Abstract: Not more then 100 words under heads of purpose, result and conclusion


Send Completed & Signed form to:
Dr. Gaurav Luthra, Chairman Scientific Committee, UASOS, Drishti Eye Center, 9B Ashley Hall, Dehradun 24001
For E-Mail Submission-UASOS@drishti.org