Registration Form
Video Endo Gynae Workshop & Hands-on Training
29th April, 2017
Department of Obstetrics & Gynaecology, Maulana Azad Medical College
Under Aegis of DGES
Venue: MAMC Auditorium
Surgical Skills Lab, B.L. Taneja Block, MAMC.
Name
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Email ID
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Qualification
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Designation
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Address (correspondence)
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Telephone/Mobile No.
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Amount
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In case of DD or Cheque, Demand Draft No./ Cheque No. (to be drawn in favour of Endo Gynae Conference-2017, payable at Syndicate Bank, MAMC, New Delhi) :
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In Case of Direct Money Transfer, refer the following:
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