Covid care course - Trainers Enrollment form
Email address *
Name *
Email Id *
Mobile Number *
Type of Work *
District *
State *
Pincode *
Name of Your Hospital *
How many beds does your hospital have? *
Does your hospital have ICU facilities? *
How many COVID patients have you managed so far? *
Will you be able to train 5 trainees (doctors, nurses or paramedical staff) every month? *
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