Training Registration Form

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Alzheimer’s And Related Disorders Society of India, Calcutta Chapter
Administrative Office
15/3 C Naskarpara Lane, Kolkata 700031

Daycare Center
C/144 Survey Park, Kolkata 700075
Phone: +91 08232014540/ 9331039839

Email: ardsikolkata@yahoo.co.in
Website: www.ardsikolkata.org

Email *

Name *

Age *

Gender *

Contact Number *

Educational Qualification *

Name of the organization you are attached with & your designation? *

Which training program are you interested to take up? *

One Day ( 4 hrs) Introductory Course Level 1

Three Days ( 12 hrs) for Professional Caregivers Level 2

Five Days ( 20 hrs) for Professional Caregivers Level 3

Two Days ( 6 hrs) for Family Caregivers

Required

Why do you want to be a part of this training program? *

If you have any queries/comments please share below. Kindly submit the form once done so we can get back to you with more details. Thank you. *

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