Health Research Methods Workshop for Nurses and Allied Health Professionals
Sign in to Google to save your progress. Learn more
Name of the Participant *
Gender
Educational qualification *
Name of Current Institution *
Designation and Department
Phone no *
E-mail ID *
City/ Town *
State *
Why do you want to attend this workshop? *
Workshop Fee and Payment mode
Workshop fee:
Before 30th December -  Rs.2000/-(for students) & Rs.3000/- (for faculty)
After 30th December - Rs.2500/-(for students) & Rs.3500/ (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)]
Mail us details of DD/NEFT transfer (your name & transaction ID) to: epibio@sjri.res.in to confirm your registration.                                                                                                                  
For any queries please write to us at: epibio@sjri.res.in or call us at 08049467032
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms