Begin Ed India Communications Course Registration 2022
Please fill in your details for course registration.  Once we receive this form, the Begin Ed India Team will send you payment details.  Looking forward to working together!!
Sign in to Google to save your progress. Learn more
Name (as you would like it on, "Certificate of Completion") *
Email *
Designation
Phone Number *
Home Address *
City *
State *
Pin Code *
Work Location *
Name of hospital, nursing home, private practice, clinic or none.
Work Address
Work Experience *
BEI Student/ Graduate
Referred By *
Begin Ed India Code of Conduct
Begin Ed India strives to nourish connection, cultivate community and create through collaboration. As a Begin Ed India student or graduate, you represent these values with us.
Nourish Connection - As a Begin Ed India student or graduate, I will use my lactation knowledge and skills to connect with the parents, babies, families and communities I both counsel and provide support to. I will assist and support both individuals and groups with kindness and compassion on the lactation journey, from pregnancy through the early years. *
Cultivate Community - As a Begin Ed India student or graduate, I will participate in the growing lactation professional community in India by encouraging and helping others in mutually beneficial ways.  I will seek to build relationships and work together for the promotion of the larger lactation profession and advocate for breastfeeding in various communities. *
Create through Collaboration - As a Begin Ed India student or graduate, I will respect and honor what others have created. I commit to using my login and registration only for my individual purposes. I will not share login information, course resources or other Begin Ed India materials (intellectual property) without direct permission from Begin Ed India. *
WHO Code/ IMS Act/ Conflict of Interest - As a BEI student or graduate, I commit to upholding the WHO Code and IMS Act for the marketing of breastmilk substitutes, in both my work and lactation practice.  I also commit to not working with or partnering with companies that have conflict of interest with the above mentioned.     https://www.ibfan.org/international-code/      https://www.bpni.org/national-policy-programme-4/
Clear selection
Please enter your full name below. This acts as your digital signature to the above form, acknowledging your compliance with the Begin Ed India Code of Conduct. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms