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:
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DOB:
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Address:
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Email:
Phone:
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Date
of Arrival
Transportation
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Bus/Train/Flight
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Congregation/Diocese/Institute/Clinic:
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Professional
Qualification and area of expertise:
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REGISTRATION FEE
Kindly choose your preference by a tick Mark
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Single Room
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Non CCPI Member
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Rs. 4700.00
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CCPI Life Member
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Rs. 4200.00
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Shared Room
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Non CCPI Member
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Rs. 3800.00
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CCPI Life Member
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Rs. 3400.00
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Single Room Non
attached
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Non CCPI Member
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Rs. 3800.00
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CCPI Life Member
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Rs. 3400.00
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Non- Resident
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Non CCPI Member
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Rs. 2800.00
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CCPI Life Member
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Rs. 2500.00
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Students
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Non Resident
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Rs. 1500.00
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Resident
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Rs. 3500.00
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Date: Signature
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.
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The last date for registration and confirmation
of participation is 10th September 2017
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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.
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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
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Mr. Roshan Monteiro
(Local Organizer)
Mob: 8073852946
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Fr. Arun Lobo (Local
Organizer)
Mob:
9481720256
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Fr. C M Joseph Cherukunnel
SDB ( President, CCPI)
Mob:09539809657
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Fr.Thomas
Mathilakathu CMI ( Secretary, CCPI)
Mob :9447682223
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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.