Final FRCR Part A Course Dec 2017 - Registration Form
This is the 4th year of this highly successful course organized by the Christie School of Oncology, Manchester and Tata Medical Center, Kolkata.
Venue: Tata Medical Center, 14 MAR(EW) Newtown, Kolkata 700160
Email address *
Personal information
First Name *
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Last Name *
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Address *
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City *
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Country *
Mobile Number *
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Training and Work Information
Tell us about your stage of training and your current place of work
Current Description of Work *
Place of Work (Name of Hospital/Institution) *
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Information on the course and examinations
General and site based teaching will be done over 5 days (Dec 4-8, 2017)
Have you appeared for the Final FRCR Part A examination in Clinical Oncology yet? *
Course fee payment
Payment of a course fee is mandatory for registration. Payment can be made by cheque (valid in Kolkata) or bank transfer. Confirmation of participation is only possible after the payment has been realized.

Course Fee for Dec 2017: INR 24,700 (not inclusive of accommodation)

Bank Transfer Details:
Transfer in favor of: Tata Medical Centre Trust
Bank: HDFC; Account No 00601660000021; Branch: Fort Mumbai;
Bank Branch Address: Fort Mumbai, Manekji Wadia Building, Ground Floor, Nanik Motwani Marg, Mumbai 400001;
IFSC Code: HDFC0000060; MICR code: 400240015; Swift Code: HDFCINBB

Cheque details:
Cheque in favor of: Tata Medical Centre Trust
Mailing address for cheques: Dr Indranil Mallick, Department of Radiation / Clinical Oncology, Tata Medical Center, 14 MAR (EW) Newtown, Kolkata 700160, India

Mode of payment used *
Cheque / Bank Transfer Confirmation no. *
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Date on Cheque / Date of Bank Transfer *
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Cheque / Transfer amount *
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A copy of your responses will be emailed to the address you provided.
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