Learn from CIP Digital Academy : Anyone, Anywhere, Anytime
This is registration for "Diploma in Community Mental Health" course for health professionals working at National and District Health Program across various districts of States in India. This is a digital learning and Certification programme with a flexibility of "Anywhere/Anytime". This is a Hybrid or Blended Programme with the combination of Self-paced e-learning and Interactive multi-point video conferencing mobile app based Case discussion.
Please fill the form below to get yourself registered for upcoming batches before 30th March 2021. It will stop after 50 registration number.
Team CIP Digital Academy
digitalacademy.cip@gmail.com
9431171162
* Required
Email address
*
Your email
Name (without prefix as to be printed in Certificate) *
*
Your answer
Email (All communications will be by email)
*
Your answer
Mobile Number (Ten digit number for communication)
*
Your answer
Place/District/Organization where you are currently working
*
Your answer
State/Central Government/Private/Others
*
Your answer
I am interested in (choose any one)
*
Diploma in Community Mental Health: Doctors
Diploma in Community Mental Health: Psychology
Diploma in Community Mental Health: Psychiatric Social Work
Diploma in Community Mental Health: Nurses
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Forms