<%@ Page Language="vb" AutoEventWireup="false" Codebehind="rego.aspx.vb" Inherits="AIIMS.rego" %> <%@ Register TagPrefix="AIIMS" TagName="LeftLinks" Src="includes/LeftLinks.ascx" %> <%@ Register TagPrefix="uc1" TagName="DateSelector" Src="Includes/DateSelector.ascx" %> Welcome to AIIMS Laparoscopic Training Centre











 
 
APPLICATION FORM- Training Course in Operative Laparoscopy -
Basic and Advanced
   
 
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 at the following address:
 
Course Dates
1st Preference
2st Preference
Name*
Qualification
Designation
Institution
Address
Phone
Mobile
Email*
Fax
Payment Details
Amount Rs.*
Draft No*
Dated
Drawn On*
 
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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