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Registration Form
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Email
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Registration Fees
Registration Type:
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Indian
International
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Attendance
*
Conference In Person
Conference Online
Workshop A :Quality integrated KMC
Workshop B: Home Based KMC
Workshop C : FBKMC
Workshop D: IKMC
Workshop E :KMC during Newborn Transport
Workshop F: Role of Parents and Public in Promotion of KMC
Other:
Required
Name in Full
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Age
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Gender
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Male
Female
Institution / Organization
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Category
Dr
Nursing faculty / Staff nurses
Student UG
PG
Other
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Occupation
Government
Private / Self Employed
Any Other
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Address for Communication
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City
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State
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Pin
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Country
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Contact No
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Whatsapp No
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Email
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Accompanying Persons ( including child more than 8 years of age )
YES
NO
Name / Age / Male / Female
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