Transplant Coordination Professional Certificate - Registration Form


REGISTRATION FORM

Dr
Mr
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(Note : Image Format - .png , .jpg , .gif & .pdf ; maximum Image size should be less than 1 Megabytes.)
Online
DD/Cheque
Bank Transfer

* Fields are Mandatory


# Course Fees: Rs.4,000. All Cheques/DDs may be made in favour of "MOHAN Foundation" payable at Chennai.


# Please post the Cheque or DD to

MOHAN Foundation
3rd Floor, Toshniwal Building,
267, Kilpauk Garden Road,
Chennai-600 010. India.

# For any other clarification/information please contact

Mr. Siva Shankar
Mobile - +91 8124480279

Email - [email protected]


# For any query Regarding Online Registration please contact [email protected]

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