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    Scope Registration Form Jan 23

    Uploaded by

    Malavika Rao
    The document announces a virtual SCOPE course taking place from January 5-8, 2023. It includes a registration form requesting the participant's name, email, mobile number, hospital, academic year, and optional guide/supervisor's name. It also asks if the participant is willing to present a case. Payment details are provided, with early registration costing Rs. 2000 and later/spot registration costing Rs. 2500. Instructions are given to email the completed registration form and transaction details to the provided email address. Contact information is also listed for additional queries.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Scope Registration Form Jan 23

    Uploaded by

    Malavika Rao
    31 views1 page
    The document announces a virtual SCOPE course taking place from January 5-8, 2023. It includes a registration form requesting the participant's name, email, mobile number, hospital, academic year, and optional guide/supervisor's name. It also asks if the participant is willing to present a case. Payment details are provided, with early registration costing Rs. 2000 and later/spot registration costing Rs. 2500. Instructions are given to email the completed registration form and transaction details to the provided email address. Contact information is also listed for additional queries.

    Original Description:

    Surgery practicals

    Original Title

    Scope Registration form Jan 23

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    © © All Rights Reserved

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    The document announces a virtual SCOPE course taking place from January 5-8, 2023. It includes a registration form requesting the participant's name, email, mobile number, hospital, academic year, and optional guide/supervisor's name. It also asks if the participant is willing to present a case. Payment details are provided, with early registration costing Rs. 2000 and later/spot registration costing Rs. 2500. Instructions are given to email the completed registration form and transaction details to the provided email address. Contact information is also listed for additional queries.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    31 views1 page

    Scope Registration Form Jan 23

    Uploaded by

    Malavika Rao
    The document announces a virtual SCOPE course taking place from January 5-8, 2023. It includes a registration form requesting the participant's name, email, mobile number, hospital, academic year, and optional guide/supervisor's name. It also asks if the participant is willing to present a case. Payment details are provided, with early registration costing Rs. 2000 and later/spot registration costing Rs. 2500. Instructions are given to email the completed registration form and transaction details to the provided email address. Contact information is also listed for additional queries.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    SCOPE COURSE- 2023 (VIRTUAL)

    Surgery Clinical Oriented Postgraduate Examination Course


    5th to 8th January 2023

    REGISTRATION FORM

    1. Name: ………………………………………………………………………. Age /Sex: ……………………………………………….

    2. Email: ……………………………………………………………………… Mobile: ..………………………………………………….

    3. Hospital: ……………………………………………………………….… Academic year: ……..………………………………

    4. Name of Guide/Supervisor (Optional): …………………………………………………………………………………………………

    5. Willingness to present Case : Yes / No

    FORM also available at : https://asidelhi.com/scope2023.html

    Payment Details:
    Rs. 2000/- from 14th November till 15th December 2022
    Rs. 2500/- from 16th December 2022 onwards and Spot registration if seat available

    Online Payment (through RTGS / NEFT) Details


     Link to online payment: https://asidelhi.com/scope2023.html

     Online Payment (through RTGS / NEFT)


     Account name - Association of Surgeons of India, Delhi,
     Bank name - Canara bank, Branch: Gangaram hospital, Delhi
     A/c No -90682010022426, IFSC Code CNRB0019111, Account type- Saving

    ----------------------------------------------------------------------------------------------------------------------------- ----------------

    Kindly mail the registration form with transaction details at [email protected]


    For further queries: Mob: 9810592084, or Whatsapp at 9810396769

    Date Signature of candidate

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