2017 Paed Basic Course Registration form
Name with initials (K.S.S.R. Perera)
Your answer
Name appears on the tag (Kasun)
Your answer
Mobile Number (777628121)( Without initial zero)
Your answer
Your e -mail Address -Please send a email to (paedventilation@gmail.com) to receive the pre-course materials
Your answer
NIC Number (266541645V)
Your answer
Specialty –
Place of work - Hospital
Place of work - Unit
Number of years you have handled ventilators
Type of ventilator modes being used
Have you been using following brands of ventilators (tick more than one option)
Your meals preference
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