(IN BLOCK LETTERS, as it should appear on the certificate)
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Email *
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Address *
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Phone number *
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Designation *
Educational Qualification *
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College/University/Institute *
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How this training would be useful to you in yours present or future programs? *
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Accommodation *
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Registration Details
For Research Scholar - Rs. 3000 For Faculty/Scientist/Post Doctoral Fellow/Clinician - Rs. 5000 * Accommodation Fee is not included in the Registration fee
A copy of your responses will be emailed to the address you provided.