Register - Molecular Haemato-oncology Group

Registration

Name of Applicant:*

Age:*

Gender:*

Organization / Institution currently employed:*

Institution:* Others CMC

Present position:*

Department:*

Contact Details / Login Credentials

Mobile:*

Email:*

Address:*

City:*

State:*

Pincode:*

Name of the last degree completed:*

Year:*

Institution:*

Subject of specialization:*

Please provide a brief description of your current work profile:* 250 characters only

Briefly explain how the course will benefit you:* 250 characters only

Upload Bonafide Certificate(Departmental / Institutional approval):* JPG,PNG,PDF document do not exceed more than 2 MB

Important details:

Course Fee: Each participant will be charged approximately Rs.25,000. However, the exact amount will be announced at the time of selection. The course fee includes workshop materials, accommodation, local travel, and food (excluding dinner).

Accommodation: Shared accommodation is being arranged for all participants.

Application and selection: Applications received on or before 15th June 2023 will be considered. Candidates selected for the course will be intimated by 25th June 2023.