Efficient, Quality-assured Data Capture using EpiData: Registration
Organized by The Union South-East Asia Regional Office in collaboration with AIIMS Bhopal, 09-10 April 2016
Please Complete All Questions. Do not leave any question / field blank.
In case a question / field is not applicable, please mark NA
Date of Birth
This will be the mode of communication for the course
Contact Number (Mobile)
Please start with +91
Contact Number (Other)
Address for Communication
Please mention the full postal address including PINCODE. We will be mailing course certificate to this address.
Highest Academic Qualification
MPH / Medical Diploma
MSc / MPhil
Years of Experience after completing post-graduation
Associate Professor / Reader
Assistant Professor / Lecturer
Dept of Community Medicine / School of Public Health
Please mention the full postal address including PINCODE
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