Ref. No. - DOT-18
Date:- 27.09.2010
Sir/ Madam,
The Swami Vivekanand National Institute of Rehabilitation Training & Research (SVNIRTAR) is an autonomous body and registered society under the financial and administrative control of the Ministry of Social Justice and Empowerment, Govt. of India.
The Department of Occupational Therapy of this Institute will be conducting a Continuing Occupational Therapy Education (COTE) on "Role of OT in management of Low Back Pain" from 23rd November 2010 to 24th November 2010 for qualified Occupational Therapist & PG students of Occupational therapy.
Dr. Firoz Ali, Spinal Surgeon & Mrs. Prativa Vaidya, Assistant Professor in Occupational Therapy who is working with the Low Backache clients regularly have given their kind consent to be the resource persons for the above COTE.
Above COTE will be conducted at SVNIRTAR from 9.30 AM to 4.30 PM on the scheduled days. You are requested to nominate the suitable Occupational Therapist(s) of your organization on the prescribed registration form attached with the letter (photocopies are acceptable). Registration fees for the workshop is Rs. 300/- for professionals and Rs. 200/- for PG students. Registration fees should be paid in the form of account payee demand draft drawn on any Nationalized bank in favor of "Director, SVNIRTAR" Payable at Cuttack and be sent to the course coordinator by 12th November 2010 with filled up registration form.
The completed application form should be sent by registered Post only. Registration can be done through E-mail:- dotnirtar@gmail.com but the course fee in form of Demand Draft must to be sent along with the hard copy through registered post only.
With regards,
Mrs. Pragyan Singh,
Lecturer Occupational Therapy
S.V. NATIONAL INSTITUTE OF REHABILITATION TRAINING AND RESEARCH
PO- BAIROI, DIST- CUTTACK, (ORISSA) - Pin- 754 010
REGISTRATION FORM FOR C.O.T.E.
Name of the programme and date : -----------------------------------------
Applicant's name (In block letters) : -----------------------------------------
Age/ Sex : -----------------------------------------
Educational qualification : -----------------------------------------
Designation : -----------------------------------------
Name & address of the
Organization : -----------------------------------------
Mailing address : -----------------------------------------
: City--------Pin-------State----------
Phone-----------Mobile-------------
: E-mail--------------------------------
Area of work : -----------------------------------------
Years of experience : -----------------------------------------
Demand draft : No. -----------Date-------------------
: Drawn on----------------------------
Signature of the applicant : -----------------------------------------
Remarks of the head of the organization: Recommended/ not recommended
Signature of the head of the organization:
Seal of the organization :
Note: Registration fees should be paid in the form of account payee demand draft drawn on any nationalized bank in favor of "Director, SVNIRTAR" Payable at Cuttack and be sent to the course coordinator with filled up registration form at:-
Mrs. Pragyan Singh, Lecturer (OT), Department of OT, SVNIRTAR, PO-Bairoi. Dist-Cuttack (ORISSA) - 754010
A candidate may consider to register through E-mail addressed to Mrs. Pragyan Singh, Lecturer (OT); E Mail: dotnirtar@gmail.com. However the course fee in form of Demand Draft must be sent along with the hard copy through registered post only.
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