Trainee Registration Form

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Trainee Registration Form

Trainee Registration Form

INDIAN SOCIETY OF COLPOSCOPY & CERVICAL PATHOLOGY

Colposcopy Training Registration Form

Name

ISCCP Life Membership No

Medical Council Registration No

Age

Designation

Qualification

Work Address

Home Address

Telephone No. (RES)

Mobile No.

Email ID

Screening method used in your center

Colposcopy Courses attended

Other:

Colposcope available in your clinic/hospital

Type of Colposcope available

Select Region

Central Trainer

North Trainer

North East Trainer

South Trainer

West Trainer

Category

Indian candidates

Fee for Indian Candidate

Price (15000/-INR + 18% GST (2700/-) + 500/- (Razorpay Handling Charge)): ₹18,200.00

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