Registration form for Health Research Methods Workshop for Nurses and Allied Health Professionals
Name (in capital letters)
introduction
Gender
E-mail ID *
I am a *
Required
If student - Please mention the name of your institution
If faculty - Designation, Department and Institution
City/Town
State
Pin code
Mobile no *
What are your expectations from this course? *
Workshop fee (inclusive of 18 % GST) and payment
Before 15th February -
Rs.3650/- (for students) & Rs.4650/- (for faculty)

After 15th February -
Rs.4000/-(for students) & Rs.5100/ (for faculty)

Payment can be made through:

1. Demand Draft drawn in favour of St. John’s Research Institute, Bangalore OR

2. NEFT [beneficiary name: St. John’s Research Institute; bank name: Bank of Baroda; beneficiary’s bank A/c #: 05210100024920; branch: John Nagar, St. John’s Medical College, Koramangala, Bangalore-560034; IFSC code: BARB0STJOHN (5th digit zero)]

**Please send in details of DD/NEFT transfer (your name and transaction ID) to - epibio@sjri.res.in

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy