Manyata CME

Registration Form
Name of the Society *
Name of the Facility / Maternity home
Address of the Facility / Maternity home
Name of the Participant(s)
1.
2.
3.
MMC Registration No(s):
1.
2.
3.
Hospital Details:
1. Year Established -
2. No. of Beds -
3. No. of Deliveries in an year -
Secure Code*      captcha

NOTE: Registration for the workshop is FREE but MANDITORY.