Training – 2 weeks course – Registration Form





















    For Applicants within India(Please Attach a copy of the following)








    For Applicants Outside India (Please Attach a copy of the following)














    Kindly send the demand draft in favour of ‘Cochin gynecological endoscopic and infertility training centre’ payable at Ernakulam or Bank Transfer


    Bank Transfer details
    Account Name : Cochin Gynecological Endoscopic and Infertility Training Centre
    Bank Name : State Bank of India
    Branch Name : Kathrikadavu
    Account No : 67258728596
    IFSC Code : SBIN0018060
    Nature of Account : Current Account
    SWIFT CODE : SBININBBT16


    Bank Address

    SBI
    Grand Bay , OPP DD Trade Centre
    KattakaraJunction , Kaloor Kadavanthra Road
    Cochin -682017
    Ernakulam


    Postal Address:
    Dr. Paul P.G,
    Paul’s Hospital, Kaloor, Cochin 682017, Kerala, India
    Email: drpaulpg@gmail.com
    Ph: 91-484-2344446, 2344447



    Please tick the check box to prove you are human : [recaptcha]