6 Months Clinical Training Form Submission

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6 Months Clinical Training Registration Form

Fields marked with an * are required If you would like to take part in our event, please fill in your details in this Registration Form below and you will be automatically registered. Registration must be completed at least seven (7) days prior to the event.

Contact Details

Qualification Details (Graduation Details)

Post Graduation Details

PLEASE ENSURE THE FOLLOWING DOCUMENTS ARE ENCLOSED WITH THIS ENROLMENT FORM


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Maximum size 500KB

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Maximum size 500KB

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Maximum size 500KB

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Before Submitting the from Please Transfer Registration fees of Rs 25,000 in the below Account Details -

PUNJAB NATIONAL BANK:

JDS HOMOEOPATHIC HOSPITAL

2218002100017800

IFSC CODE :PUNB0221800



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