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ICCONS - Payment Form
Payment should be made in favour of "Project Director, SRCCD' Account Number: 57036240676
Bank : SBI, Medical College, Thiruvananthapuram IFSC : SBIN0070029
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File No :
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Name :
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Therapy / Consultation :
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Clinical Psychology
Speech Language Pathology
Linguistics
Physiotherapy
Special Education
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Amount Paid :
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Transaction ID
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Date of Transaction :
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MM
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Type of Service
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Therapy
Evaluation
Consultation
Name of Therapist
Select the therapist from concerned Department
Dept. of Clinical Psychology
Anilkumar Nair
Dr. Nandini Jayachandran
Sreekumar S
Varghese Mathew
Santhi S
Dhanalekshmi
Clear selection
Dept. of Speech Language Pathology
Divya G
Priyanka Panchapakesan
Reji R
Arun Mallika
Clear selection
Dept. of Linguistics
Bindukala S
Sonia Christy
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Dept. of Physiotherapy
Smitha T
Clear selection
Dept. of Special Education
Sherly S
Mini P
Sheeba V
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email Id.
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Remarks
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Agreement
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