First FRCR Course Jan 2018 - Registration Form
This is the 4th year of this highly successful course organized by the Christie School of Oncology, Manchester and Tata Medical Center, Kolkata.
Venue: Tata Medical Center, 14 MAR(EW) Newtown, Kolkata 700160
Email address *
Personal information
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
Country *
Mobile Number *
Include country and area code
Your answer
Training and Work Information
Tell us about your stage of training and your current place of work
Current Description of Work *
Place of Work (Name of Hospital/Institution) *
Your answer
Information on the course and examinations
Jan 15 - Cancer Biology / Radiobiology
Jan 16 - Cancer Biology / Radiobiology
Jan 17 - Cancer Biology / Radiobiology and Pharmacology
Jan 18 - Pharmacology and Statistics
Jan 19 - Statistics and Physics
Jan 20 - Physics
What subjects will you attend? *
Have you appeared for the First FRCR examination in Clinical Oncology yet? *
Course fee payment
Payment of a course fee is mandatory for registration. Payment can be made by cheque (valid in Kolkata) or bank transfer. Confirmation of participation is only possible after the payment has been realized.

Course Fee for Jan 2018: (not inclusive of accommodation)
All subjects: INR 25,000
Individual Subject: INR 7,000 per subject

Bank Transfer Details:
Transfer in favor of: Tata Medical Centre Trust
Bank: HDFC; Account No 00601660000021; Branch: Fort Mumbai;
Bank Branch Address: Fort Mumbai, Manekji Wadia Building, Ground Floor, Nanik Motwani Marg, Mumbai 400001;
IFSC Code: HDFC0000060; MICR code: 400240015; Swift Code: HDFCINBB

Cheque details:
Cheque in favor of: Tata Medical Centre Trust
Mailing address for cheques: Dr Indranil Mallick, Department of Radiation / Clinical Oncology, Tata Medical Center, 14 MAR (EW) Newtown, Kolkata 700160, India

Mode of payment used *
Cheque / Bank Transfer Confirmation no. *
Your answer
Date on Cheque / Date of Bank Transfer *
This will help us process/ track your payment
Cheque / Transfer amount *
Write the amount in INR
Your answer
Cheque / Transfer from account of
A copy of your responses will be emailed to the address you provided.
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