©2007 panditpalaskar.com | Gynecological Endoscopy Center | Test Tube Baby Center
An ISO 9001 : 2000
ISO Certified Hospital in Aurangabad, MS, India
Training Program Registration
The course fee doesn't include accommodation. Since only four candidates are taken in a batch, advanced registration is required.
Registration Form
1St Choice of date: (Refer Calendar)
2nd Choice of date:
First Name:
Surname:
Date of Birth:
Address
Name of Institutions
Designation
Tel No: Office :
Residence :
Fax No:
E. Mail:
Qualifications:
Previous Endoscopy Training if any:
Type of Endoscopy procedures presently doing: -
Facilities available at your center:
I am sending a draft (Payable to Dr. Pandit Palaskar)