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The Training Course in Infertility
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Registration form

 
To,
Dr. Malhotra,
I, , would like to register for
 
 
Course: Fees:
I.U.I.
    DD in name of FOGSI payable at Mumbai
     
3000/-
Basic Infertility
    DD in name of FOGSI payable at Mumbai
     
15000/-
Advanced Infertility ( IVF & ART)
    DD in name of FOGSI payable at Mumbai
     
25000/-
Operative Endoscopy
    DD in name of FOGSI payable at Mumbai
     
15000/-
Ultrasound (Basic)
    DD in name of FOGSI payable at Mumbai
     
7500/-
Ultrasound (Advance)
    DD in name of FOGSI payable at Mumbai
     
25000/-
Th.J. Univ. Course (Basic)
    (IFUMB-ICMU) Ultrasound
DD in name of IFUMBI payable at Mumbai
     
10000/-
Th.J. Univ. Course (Advance)
    (IFUMB-ICMU) Ultrasound
DD in name of IFUMBI payable at Mumbai
     
15000/-
Observer in Obs & Gyn
    DD in name of Malhotra Nursing & Maternity
Home Pvt. Ltd. Payable at Agra
     
5000/-
My preferred month and dates for the course is

(can not guarantee as it is first come first serve).

My E-mail ID is

My Mobile Number is

Enter the code shown  



All correspondence to
Dr Narendra Malhotra & Dr Jaideep Malhotra
Malhotra Nursing & Maternity Home (P) Ltd.

84, M.G. Road, Agra-282010 (U.P)
Phone
: +91 562 2260275, 2260276, 2260277
Fax : +91 562 2265194, 2262143
E mail : mnmhagra3@gmail.com
 
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