Registration

Training Course in Laparoscopic Hernia Surgery

 
*Space is limited and will be filled strictly on first come first serve basis.
*Correspondence is preferable by e-mail, so write your e mail address clearly.
Note: Please choose the Online option if you would like to complete the forms online. If you do this, you may complete the forms online and you can pay by a demand draft drawn in favour of "MINIMALLY INVASIVE SURGERY TRAINING CENTRE"at the address above.
Please make sure to put the demand draft number and date on the online form. You have the option to download forms in PDF format if you wish to print and mail us the form.
Course*
   
Course Date Preferences
1st Preference*:
2nd Preference*:
3rd Preference:
Personal Details
Name*:
Qualification*:
Designation*:
Insitution*:
Address*:
Phone*:
Mobile*:
Email*:
Fax:
Payment Details
Amount Rs.*:
Draft No.*:
Dated*:
Drawn on*:
Course Fee
Registration Charges and Course Fee for all courses at MISTC
Registration fee - Rs. 2000/-
AIIMS Faculty and residents - No charges

Hands on Training Charges (Course Materials and Food Charges) (Optional)
Indian delegates - Rs 9200/- (Including Service tax)
IHS/ SELSI members - Rs 7475/- (Including Service tax)
Postgraduates - Rs 5175/- (Including Service tax)
AIIMS Faculty and residents - No charges

  • Hands on Training Charges(Course Materials and food Charges) include charges for the tissues provided for training, suture materials, instruments, laparoscopic equipment, disposables etc, animal attendant and charges for food on all course days (tea and lunch).
  • Please send a single demand draft in favor of “Minimally Invasive Surgery Training Centre” or you can transfer online to our bank Account Number 36740714982, IFSC Code SBIN0001536, Swift Code SBININBB545, State Bank of India, Ansari Nagar, New Delhi
  • Those candidates who do not wish to pay Hands on Training Charges have to bring all materials required for training on their own, otherwise they will be allowed only as observers.
(Certificate from Head of Department is essential)
Please bring two Pasport Size photograph
FOR HERNIA / COLORECTAL / SUTURING COURSE ONLY
How many Laparoscopic procedure do you do per month
Which laparoscopic procedures you are doing at present?
Which laparoscopic procedures you are doing at present?
Laparoscopic cholecystectomy
Laparoscopic hernia
Diagnostic Laparoscopy
Laparoscopic Heptobiliary
Laparoscopic Gynae Procedures
Laparoscopic colorectal
Laparoscopic upper G.I.
Where did you get your basic laparoscopic training?
How many years since you are doing laparoscopic surgery?
You work in which type of set up?
Name of the hospital
 
 

All fields marked with * are compulsory.

Payment : All Payments by Demand Draft/Local cheque only in favour of "MINIMALLY INVASIVE SURGERY TRAINING CENTRE" payable at New Delhi (India)
Please include your email address for confirming the course dates.

© AIIMS Laparoscopic Centre. All India Institute of Medical Sciences, Ansari Nagar, New Delhi