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Transplant Coordination Professional Certificate - Registration Form


REGISTRATION FORM

Dr
Mr
Mrs
Ms
Male
Female

Address for Communication :

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No
Yes
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(Note : Image Format - .png , .jpg , .jpeg & .gif ; maximum Image size should be less than 1 Megabytes.)
(Note : Image Format - .png , .jpg , .jpeg , .gif & .pdf ; maximum Image size should be less than 1 Megabytes.)
Rs.4000 or USD 75 - Course Fee

Rs.4500 - Course Fee + Transplant coordinators' manual and law book. (This provision is applicable only for participants from India. The hard copies of the manuals will be despatched to the address for communication submitted in your registration form)
Online
DD/Cheque
Bank Transfer
Terms and Conditions:
• The certificate will be issued solely by MOHAN Foundation and not by the National Organ and Tissue Transplant Organisation (NOTTO)/any state body.

• Fees once paid will not be refunded.

• After completing the registration process, username and password to access course materials will be communicated through email.

• If you are not able to clear the final examination in the first attempt, you will be allowed to reattempt the exam one more time. The reattempt will be conducted within one month from the announcement of the results.

• Reattempt fee is Rs. 500/-

Yes, agree to the above MOHAN Foundation's Terms and Conditions, Privacy Policy and Terms of Use*

* Fields are Mandatory


Fee Structure:

• Rs. 4,000 or USD 75 - Course Fee.

• Rs. 4,500 - Course Fee + Transplant coordinators' manual and law book. (This provision is applicable only for participants from India. The hard copies of the manuals will be despatched to the address for communication submitted in your registration form)


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

Ms. Elizabeth
Mobile - +91 9677202908

Email - [email protected]


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

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