Registration

Training Course in Operative Laparoscopy - Basic and Advanced

Indian Delegates- Rs. 8000/- only
Overseas- USD 250$
Indian Hernia Society Members Rs 7000/- only
SELSI members Rs. 7000/- only
Postgraduates Rs. 5000/- only
(Certificate from Head of Department is essential)
 
 
*Space is limited and will be filled strictly on first come first serve 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 above.
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 Date Preferences
1st Preference*:
2nd Preference*:
3rd Preference:
4th Preference:
Personal Details
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.

 
© AIIMS Laparoscopic Centre. All India Institute of Medical Sciences, Ansari Nagar, New Delhi