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NBEMS CPR Aw
are
ness Programme
Nomination of Volunteers for organizing NBEMS CPR Programme
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Details of Nodal Person
Please Enter the details of Nodal Person
to coordinate with NBEMS
Name
*
Your answer
Specialty
*
Your answer
Designation
*
Your answer
Institute/Hospital
*
Your answer
Address of Institute/Hospital
*
Your answer
State
*
Your answer
email ID
*
Your answer
Mobile Number
*
Your answer
First Nomination Details
Please Enter Details of First Nominated Faculty
Name
*
Your answer
Specialty
*
Your answer
Designation
*
Your answer
Institute/Hospital Name
*
Your answer
email ID
*
Your answer
Mobile Number
*
Your answer
Second Nomination Details
Please Enter Details of Second Nominated Faculty
Name
*
Your answer
Specialty
*
Your answer
Designation
*
Your answer
Institute/Hospital
*
Your answer
email ID
*
Your answer
Mobile Number
*
Your answer
*
It is understood that above nominated faculty shall volunteer to support NBEMS CPR Awarness Programme by way of organizing the event in their Medical College/Hospital/City and imparting CPR Demonstration to the Participants
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