Training Institutions Application Form Please enable JavaScript in your browser to complete this form. - Step 1 of 2Are You Applying for a Placement as an Individual? Then click Here! Interns' Application Form Otherwise, continue as a Training Institution. Date of Application *Name of Training Institution *Registration No. of Training Institution *Location of Training Institution (District) *Name of Contact Person *Title of Contact Person *LayoutPhone Number *Phone of Institution or contact personEmail Address *Email of Institution or contact personNumber of Students for Placement *Course of Study *LayoutStart Date for Placement *End Date for placement *Upload List of Students & their rotations * Click or drag a file to this area to upload. Upload list should be in Microsoft Excel file formatUpload copy of Goods Received Note (from hospital stores) * Click or drag a file to this area to upload. For details, consult Secretary - Placement committee (Tel 0775405439)Upload Copy of Signed MOU * Click or drag a file to this area to upload. NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit
