20th Practical Course & CME, 2017 - Registration Form
22nd to 24th September, 2017
Department of Obstetrics and Gynaecology, Maulana Azad Medical College, New Delhi
Venue: MAMC Auditorium
Name
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Qualification
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Designation
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Postal Address
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City
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Pincode
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State
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Email
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Mobile/Telephone No.
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Amount
Payment Mode
In case of DD or Cheque, Demand Draft No./ Cheque No. (to be drawn in favour of 20th Practical Course & CME-2017, payable at Syndicate Bank, MAMC, New Delhi) :
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Name of the Bank
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In Case of Direct Money Transfer, refer the following:
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