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Covid care advanced course - Interest registration form
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Email Id
*
Your answer
Mobile Number
*
Your answer
Type of Work
*
Doctor
Nurse
Other:
District
*
Your answer
State
*
Your answer
Pincode
*
Your answer
Name of Your Hospital
*
Your answer
How many beds does your hospital have?
*
Your answer
Does your hospital have ICU facilities?
*
Yes
No
How many COVID patients have you managed so far?
*
Less than 10
10 - 20
20 - 50
More than 50
Will you be able to train 5 trainees (doctors, nurses or paramedical staff) every month?
*
Yes
No
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