Professionalism and Ethics in Medical Practice Strand
16, 17, 23 & 24 November 2018
1. Name (as it should appear in certificate) *
Your answer
2. Specialty *
Your answer
3. PGIM Roll number *
Your answer
4. Mobile Number *
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5. Email Address *
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6. Place of Work
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7. Postal Address
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8. Confirm your participation for the following dates
Please note that trainees should complete whole course
Module 1
Module 2
Module 3
Module 4
SLMC Number *
Your answer
Thank you!
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