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.

Full Name*

Father/ Husband / Guardian's Name *

Date of Birth

Gender

Male

Female

Marital Status

Single

Married

Separated

Divorced

Nationality

Address

City*

State*

Pincode*

Contact Details

Email address*

Contact Number*

Qualification Details (Graduation Details)

University / School

Month and year of passing:(DD/MM/YYYY)*

Internship - Name of the institute where you worked during your internship

Registration Number*

Year of Practice*

Post Graduation Details

Post Graduate Degree

University Name

Month and year of passing:(DD/MM/YYYY)

ANY OTHER QUALIFICATIONS

WHAT EXAMPLES FROM YOUR LIFE MAKES YOU BELIEVE THAT YOU HAVE THE ‘ZEAL TO HEAL'*

PLEASE ENSURE THE FOLLOWING DOCUMENTS ARE ENCLOSED WITH THIS ENROLMENT FORM

Final Year Mark sheet*

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Maximum size 500KB

Degree certificate (if applicable)

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Maximum size 500KB

Provisional Certificate (if any)

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Maximum size 500KB

ID & Address Proof (Passport / Aadhar card / Pan Card / Election Card etc.)

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Maximum size 500KB

Passport size photograph

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Maximum size 500KB

STUDENT DECLARATION*

I solemnly declare that the above information provided by me is correct and true. I also understand that the Academy reserves the right to change any part of the course or its conditions if it considers this to be in the best interest of those concerned, and I agree to abide by the Academy guidelines and instruction

Before Submitting the from Please Transfer Registration fees of Rs 200 in the below Account Details -

PUNJAB NATIONAL BANK:

JDS HOMOEOPATHIC HOSPITAL

2218002100017800

IFSC CODE :PUNB0221800

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Diseases

Pediatric Disorders

In All Diseases

We provide Homeopathy treatment for all types of children with chronic illness, mental retardation , constitutional homeopathy offers one type of approach that addresses the underlying causes of the illness and hopefully presents solutions to difficult physical, emotional, behavioral, and psychological problems.

Endocrine Disorders

In All Diseases

We provide treatment for various types of endocrine diseases like Hypothyroidism, Cushing’s syndrome, Addison’s disease, Hyperparathyroidism.

Orthopaedic Disorders

In All Diseases

We provide treatment for all types of orthopaedic disorders Anything that is concerned with muscles, ligaments and joints is considered orthopaedic.There are as many treatments for orthopedic disorders as there are problems and injuries in the muscles, ligaments and joints.

Gynaecological Disorders

In All Diseases

We provide treatment for all types of Gynaecological Disorders in Females like Cancer and pre-cancerous diseases of the reproductive organs including ovaries, fallopian tubes, uterus, cervix, vagina, and vulva.

Eye Diseases

In All Diseases

We provide Homeopathic treatment for all types of eye diseases like Visual impairment, Glaucoma, Cataract and many more.

Heart Diseases

In All Diseases

We provide treatment of all type of Heart Diseases.

Homeopathy & Cancer

In All Diseases

Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. The aim of homeopathy is not only to treat cancer pain but to address its underlying cause and individual susceptibility.