Sign in to your Google account to fill out this form
This form contains features which require sign in.
Ethics in Public Health Practice
February 5 - 9, 2018
Full Name (as per your identity)
25 - 30
31 - 40
41 - 50
Current Organisation Name
Work experience (in years)
Please send one-page CV (in form of .doc/.pdf)
Please send a brief (500 words) note describing the reasons for your interest in Ethics in public health practice, your experiences in facing ethical issues/challenges in your area of work and finally, what you expect to learn from the course
How did you first hear about this course?
Current Student/Alumni at Azim Premji Univeristy
Azim Premji University Website
Facebook OR Twitter
From friend (email, phone, etc.)
No course fees are being charged for this training program. For those requiring accommodation, the University will arrange for accommodation at the venue for 6 nights for a total cost of Rs. 7000 (inclusive of taxes).
Never submit passwords through Google Forms.
This form was created inside of Azim Premji University. -
Terms of Service