Welcome to www.alumnibjmcpune.com

Dr. A. V. Jamkar
Dean, BJ Medical College, Pune

Dr. K. H. Sancheti
Chief Coordinator

Dr. S. B. Kelkar
President, Organizing Committee

Dr. A. V. Umranikar
Chairman, Organizing Committee

Dr. A. N. Pandit
Co - Chairman,Organizing Committee

Dr. S. M. Dabak
Organizing Secretary

Dr. K. B. Niphadkar
President, Research Society

Updated Programme

Organising Committee

Registration and Participation

Registration as Delegate	Rs. 1000
Reception Committee Member (Inclusive of Registraiton )	Rs.5000/-
Reception Committee Member - Couple (Inclusive of Registraiton)	Rs.7000/-
Life Member, Alumni Association	Rs.5000/-
Life Member, Alumni Association - Couple	Rs.7500/-
Patron, Alumni Association	Rs. 25000/-
Patron, Diamond Jubilee	Rs. 100000/-
(Donations of any denominations are welcome! Foreigen Delegates may donate voluntarily.)

Conference Secretariat :
Dr. S. M. Dabak
Organising Secretary
Diamond Jubilee Celebration
Dept. of Obst. & Gynaec., B.J. Medical College, Pune 411001 India
Tel : 020 - 26128000 Ext. 233 or 311, 26051291, 24225821 (Resi.)
Fax : 020 - 26125432 Mobile : 9371026421, 9422352700
email : dabaksm@yahoo.com Website : www.alumnibjmcpune.com

Office:
Dr. Shrihari Dhorepatil
General Secretary
BJMC Pune Alumini & Staff Association
Dept. of Obst. & Gynaec., B.J. Medical College, Pune 411001 India
Tel : 020 - 26128000 Ext. 233 or 311, 26051291
Fax : 020 - 26125432 Mobile : 09822040769
email : shrihari@vsnl.com Website : www.alumnibjmcpune.com

To,

The President,
BJMC PASA,PUNE

Sir,
I wish to register myself as

Delegate

Reception Committee Member (Inclusive of Registraiton )

Reception Committee Member - Couple (Inclusive of Registraiton)

Life Member, Alumni Association

Life Member, Alumni Association - Couple

Patron, Alumni Association

Patron, Diamond Jubilee

I wish to make donation to "BJMC Pune Alumni & Staff Association".
I am sending herewith Cash / Cheque / DD for Rs.

My personal data is as follows:


Admission in BJMC		UG / PG
Joined as staff
Surname	Name	Middle Name
Qualifications
Gender: Male Female
Mailing Address
City
Pin Code
State
Country
Tel:	Residence:	Office:
Mobile
E-mail
Designation
Institution Affiliated
Significant Achievements ( Academic, Arts, Social , etc)

Suggestions about desired Functioning of Association

Payments
Amount Rs.
Cheque / DD Number
Date
Drawn on Bank
Branch

Cheques / D.D. to be drawn in favour of "BJMC Pune Alumni & Staff Association"
(Please add Rs. 50/- for out station Cheques)

You are requested to intimate the above information to all your batchmates and BJites in your home town, district, local IMA or Speciality Associations.
You are requested to send the names of your family members, complete residential and clinic addresses, phone, mobile numbers and email addresses to enable us to communicate well.

The President, BJMC PASA,PUNE

My personal data is as follows:

The President,
BJMC PASA,PUNE