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Program Schedule
Program Schedule
Name of Candidate (In Capital Letters)
Father's/Husband Name
Date of Birth
Address
Landline
Mobile
Email address
Website
Qualification
Experience
Designation
Institute/College/Organization (Where currently employed)
Payment Details
Doctors \ Clinicians
Rs. 3500 /-
Nurses\ICN
Rs. 2500 /-
Quality managers & Administrators
Rs. 3000/-
For Online Transfer (NEFT/RTGS)
QUALITY CARE INDIA LIMITED
Bank Name: Union bank of India, Hyderabad, Nampalli branch 500001
Account number: 085811100000405
IFS Code: UBIN0803782
DD/Cheque/ UTR No
Bank Name
Date
I hereby declare that the above mentioned information is correct up to my knowledge and I bear the responsibility for the correctness of the above mentioned particulars. I am aware that the above training will be organized & certification done by CARE Hospitals, Nampally, Hyderabad.
