Registration Form: A Short Course On Dealing With Suicide Prevention
Conducted By: Janvi Sutaria (Psychologist & Outreach Associate, Mpower - The Centre)

Dates: 11 July 2020, 18 July 2020, 25 July 2020 & 1st August 2020

Fee: INR 1999/- ONLY For 4 Sessions

NOTE : Your Data is Safe with Us
Name *
Age *
Gender *
Email *
Phone number
City *
What are your expectations of this program?
How Did You Hear About Us? *
Would You Like To Recieve Any Awareness Communication in the future from us? *
You  Know That Upon Your Registration, you'll be charged a fee of INR 1999/- to confirm your seat? *
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