Online Registration
   
 
 
Course fee: Indian- Rs. 8000/- only         Overseas- USD 250$
10 seats in each course.
*Space is limited and will be filled strictly on first come first basis.
*Correspondence is preferable by e-mail, so write your e mail address clearly.
Note: Please choose the Online option if you would like to complete the forms online. If you do this, you may complete the forms online and you can pay by a demand draft drawn in favour of "MINIMALLY INVASIVE SURGERY TRAINING CENTRE"at the address below.
Please make sure to put the demand draft number and date on the online form. You have the option to download forms in PDF format if you wish to print and mail us the form.
Course*
   
Course Dates  
1st Preference:*
2nd Preference:*
3rd Preference:
4th Preference:
   
Name*:
Qualification:
Designation:
Insitution:
Address:
Phone:
Mobile:
Email* :
Fax
Payment Details:  
Amount Rs.* :
Draft No.* :
Dated:
Drawn on* :

All fields marked with * are compulsory.

Payment : All Payments by Demand Draft/Local cheque only in favour of "MINIMALLY INVASIVE SURGERY TRAINING CENTRE" payable at New Delhi (India)
Please include your email address for confirming the course dates.

   
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