WINFOCUS Ultrasound Life Support Basic Level 1 Provider Workshop
This is the ONLINE application form for WINFOCUS Ultrasound Life Support Basic Level 1 Provider Course.
Name (Surname and Initials) *
As it should appear in the Course Certificate
Your answer
NIC No. *
Your answer
Contact Mobile Number *
Your answer
Email address *
Your answer
Designation *
Current Hospital attached to *
Your answer
Specialty *
SSCCEM Life Member *
Meal type *
I accept the Rules & Regulations *
Here by accept to abide by the rules of selection, the payment is non refundable in case of cancellation and the decision of the organising committee will be the final decision.
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