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REGISTRATION FORM

Continuing Psychology Education (CPE) Program


2–day Workshop on
“Biofeedback & Neurofeedback:
Clinical and Research
Applications"
27th & 28th November, 2009

Name :
Age :
Gender :
Occupation / Course :
Institute :
E-mail ID :
Phone no :
Address :

Food Preference : Vegetarian / Non-Vegetarian.


Knowledge about / prior experience with biofeedback /
neurofeedaback (pl. specify):

Write in brief about your specific interest in this workshop:

Registration fee:
Students & Research Scholars : Rs. 1,500/-
Professionals : Rs. 2,000/-
Registration after 20th November 2009 : Rs. 2,500/-

Advance(extra) towards Accommodation, Rs. 500/-, included


(Yes / No)

Payments to be made as demand draft drawn in favour of


“Organizing Secretary CPE”, payable at Chennai

Details of payment: Demand draft._____________________


drawn from _________________________ on _______ 2009.
CONTINUING PSYCHOLOGY
EDUCATION (CPE) PROGRAMME

2-DAY WORKSHOP
on

“Biofeedback &
Neurofeedback:
Clinical and
Research
Applications”

at
Conference Hall, Dept of Bioinformatics,
IV Floor, OP Building
from
27th to 28th November, 2009
Organized by
DEPARTMENT OF CLINICAL PSYCHOLOGY,
SRI RAMACHANDRA UNIVERSITY
PORUR, CHENNAI 600 116.
Last Date for Registration: 20th November 2009

The number of seats for the workshop is limited to


strictly 40; on a first come, first served basis. Payments
to be made as demand draft drawn in favour of
Organizing Secretary CPE, payable at Chennai

Registration Fees

Students & Research Scholars : Rs. 1,500/-

Professionals : Rs. 2,000/-

Registration after : Rs. 2,500/-


20th November 2009

Registration fee covers registration charges, a workshop


kit, Breakfast and lunch on the days of the workshop.
Registration before 20th November 2009 will ensure the
workshop kit.
Mailing Address:

Organizing Secretary- CPE,


Dept. of Clinical Psychology,
Sri Ramachandra University,
Porur, Chennai 600 116.
Accommodation available is limited. Advance payment
of Rs. 500/- to be added to the DD and indicated in the
registration form to ensure reservation of a room. The
final settlement has to be made by the delegate
depending on the number of days stayed.

Resource Persons:

Dr. Jamuna Rajan


Assistant Professor
Department of Mental Health and Social
Psychology
NIMHANS, Bangalore

Dr Kanak Panday
Industrial and Clinical Psychologist
Chairman
Gunjan Human Karigar Pvt. Ltd.
New Delhi

For further information


Contact

Organizing Committee at
044-24765512 extn. 8511/8537
Organizing Secretary- Dr Bhasi.S - (0)9383845040
Treasurer- Mr. D. Vijayaragavan-(0)9894289185
You may also e-mail to
clinicalpsychologysru@gmail.com

PROGRAMME SCHEDULE- (Tentative)

Day 1 – 27/11/2009

8.30. a.m. – 9.00.a.m. – Registration


9.00. a.m. – 9.30.a.m. – Inauguration

9.30. a.m. – 9.45.a.m. – Coffee Break

9.45a.m. – 12.30 p.m. – Academic


Session 1
(Resource Person – Dr. Jamuna
Rajan)

Session 1- Introduction to
Neurofeedback
Session 2- Application of
Neurofeedback Training in
Clinical Conditions- Case
Vignettes
Session 3- Application of
Neurofeedback Training in
Clinical Conditions- Research
Findings

12.30. p.m. – 2.00 p.m. Lunch Break


2.00 p.m. – 4.00 p.m. – Academic
Session 2
(Resource Person – Dr Kanak Panday)

Session 1 – Biofeedback- common


modality with application-
Various types of biofeedback -
How does it work?
(Coffee Break)
Session 2 – Stress effect – Biofeedback
and psycho-physiological
stress profiling

PROGRAMME SCHEDULE-
(Tentative)

Day 2 – 28/11/2009

9.30 a.m. – 12.30 a.m. – Academic


Session 3
(Resource Person – Dr Kanak Panday)

Current Biofeedback/ Neurofeedback


Applications

Session 1- Clinical Applications


Session 2- Health and Well being
(Coffee Break)
Session 3- Education
Session 4- Sports
12.30 p.m. – 2.00 p.m. Lunch Break

2.00 p.m. – 3.30 p.m. – Academic


Session 2
(Resource Person – Dr Kanak Panday)

Session 1- Corporate Field-Peak


performances, leadership
development, measurable
intervention in people
development
(Coffee Break)
Session 2- Demonstration of system
and Hands on learning

3.30 p.m. – 4.00 p.m. – Valedictory


Functions