EMDR Indonesia is a professional association of therapists committed to the highest standards of research and practise for the clinical use of EMDR.
 
Eye Movement Desensitization and Reprocessing (EMDR) PDF
Eye Movement Desensitization and Reprocessing (EMDR)

FIRST EMDR ASSOCIATION CONFERENCE
27 February-1st March 2015
New Delhi, India


Registration Form


Full Name:

Nationality:     

Mailing address:

Mobile no:

Email address:

Please indicate (tick) your registration preference:


Pre conference (27th Feb, 2015)    | Conference (28th Feb-1st March, 2015)    | Pre conference + conference


Registration Category:
Life Member of EMDR Association / Student / Foreign Delegate / Other participant: _____________

Registration fees as per your registration category: _________

Details of payment made:
Bank Name & Place: _________
Account Name: _________
Account Number: _________
Amount: _________
Date of payment: _________




Please fill up this form, attach the electronic copy of proof of payment and email to:

    and  


Details of Conference at: www.emdrindia.org


Kindly note: Registration fee does not include accommodation    


For electronic transfer send registration payment to:
Account Name: EMDR Association
Account Number: 913020050319821
Bank Details: Axis Bank, Nariman Point, Mumbai (MH)
IFS Code: UTIB0000173

Kindly submit a print as proof of the electronic transfer (NEFT) when you arrive on day 1. Transfer charges will be liable to the sender.         
 
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