Health Technology Assessment (HTA) Training Workshop Participation Form (JIPMER, India, Oct 3-5 2019)
Thank you for your interest in the HTA workshop. Please complete this form which has been designed to achieve the following objectives:

1) To learn about the background and objectives of participants attending the training,
2) To help the organizer design and deliver the training, and
3) To enable participants to track their own understanding of HTA and economic evaluations.
Email address *
Personal Title (Mr, Mrs, Miss, Dr., Prof. etc) *
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Name (first name and last name ) *
Your answer
Job title *
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Organization/Affiliation(s) *
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Current role/position in your organization/work *
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Primary fields/areas of work *
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Field of education *
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Degree (Bachelor’s, Master’s, PhD etc) *
Your answer
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