VENUE Department of Occupational Therapy, NILD, Kolkata.

DATE 20/11/2018 (01-day)

PARTICIPANTS Qualified Occupational Therapist (MOT students can also participate)

COURSE FEE Rupees 1,000/-(one thousand only) per participants. Payment to be made by demand draft address in favor of National Institute for Orthopedically Handicapped payable at Kolkata. The course fee includes tea, coffee and working lunch.

APPLICATION FORM Please fill-up the provided application form, attach demand draft of course fee and send it to the below address. Interested professionals may apply through e-mail/post/fax by latest 15th November 2018.

Mr.Jeetendra Mohapatra,

Lecturer OT & Program Coordinator,

Dept. of OT, NILD,

BT Road, Bon-Hooghly, Kolkata-700090.

Email- jeetendra741@rediffmail.com

Fax (O) - 033-25318379

Note Participants has to arrange their own accommodation and no travel allowance (TA) and pick-up/drop of the participants to the venue will be provided. Due to any unavoidable reason NILD reserves the right to cancel the training program without giving any reason. In that situation institute will refund only the course fees of the participants. Detailed program will be sent for those who registered for the program.

National Institute for Locomotor Disabilities (Divyangjan)

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Department of Empowerment of PwDs (Divyangjan), Ministry of Social Justice and Empowerment, Govt. of India

B.T. ROAD, BON-HOOGHLY, KOLKATA-700090

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APPLICATION FORM

Work Simulator-The ultimate rehabilitation system for hand

On 20th November, 2018

Name of Participant :

Age/ Sex :

Professional Qualification :

Designation :

Institution & Address :

Residential Address :

Contact No. :

Email Id :

Payment Details : Course fees: Rs___________ DD No. _________ Dated:

Signature