Sunday 6 August 2017

Mangalore CCPI Conference 2017

18th National Conference of Catholic Psychologists of India

Organized by the Conference of Catholic Psychologists of India (CCPI)
&
Karnataka - Mangalore Region Catholic Psychologists

Theme - POSITIVE PSYCHOLOGY: A PATHWAY TO WELL BEING

Diocesan Pastoral Centre (Shanthi Kiran), Bajjodi, Mangalore -  575005

Dates: 22, 23 & 24 September 2017.
REGISTRATION FORM
Name:



DOB:



Address:





Email:

Phone:




Date of Arrival
Transportation


Bus/Train/Flight
Congregation/Diocese/Institute/Clinic:


Professional Qualification and area of expertise:

REGISTRATION FEE
Kindly choose your preference by  a tick Mark
Single Room
Non CCPI Member
Rs. 4700.00

CCPI Life Member
Rs. 4200.00

Shared Room
Non CCPI Member
Rs. 3800.00

CCPI Life Member
Rs. 3400.00

Single Room Non attached
Non CCPI Member
Rs. 3800.00

CCPI Life Member
Rs. 3400.00

Non- Resident
Non CCPI Member
Rs. 2800.00

CCPI Life Member
Rs. 2500.00

Students
Non Resident
Rs. 1500.00

Resident
Rs. 3500.00













Date:                                                                                                                                                     Signature
Send your Registration form to ccpimangalore2017@gmail.com  
NB:
After confirming your participation for the Conference, it is enough to pay the fees (in cash only), on arrival at the Venue. Kindly take your ID (if you have) card with you to make registration process easy.
·         The payment specified above is inclusive of all the operating costs of the conference.
·         The last date for registration and confirmation of participation is 10th September 2017
·         The CCPI members who are unable to attend the Conference are requested to fill in the Registration form, as it will be a help to create a database for CCPI.
·         You are welcome to invite your associates who are Catholic Psychologists, to attend the Conference.

For any further information you may contact:

Sr. Severine Menezes (Conference Co-ordinator)
Mob:8951518062
Mr. Roshan Monteiro (Local Organizer) 
Mob: 8073852946
Fr. Arun Lobo (Local Organizer)
 Mob:  9481720256
Fr. C M Joseph Cherukunnel SDB ( President, CCPI)
Mob:09539809657
Fr.Thomas Mathilakathu CMI ( Secretary, CCPI) 
Mob :9447682223


NB: Kindly send the Registration Form duly filled, specifying your mode of accommodation to ccpimangalore2017@gmail.com  on or before 10th September 2017. This will indicate your confirmation and participation at the Conference.