Training Institutions Application Form

Step 1 of 2

Otherwise, continue as a Training Institution.

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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 *

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Phone Number *

Phone of Institution or contact person

Email Address *

Email of Institution or contact person

Number of Students for Placement *

Course of Study *

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Start 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 format

Upload 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.

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