Application form for the IAPC’s Certificate Course in Essentials of Palliative Care (CCEPC)

Dates: 6th, 7th, 13th, 14th, 20th and 21st July, 2024.

     

    Name of the IAPC authorized course centre through which you are submitting the application

     

     

     

    Name of the candidate

     

     

     

    Qualification of the candidate

     


    MBBSBDSBSc NursingGNM


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    Contact details of the candidate

     

     

     

    Details of the course fee paid

     

    Please note the Bank Details of IAPC

    Course fee to be transferred online / deposited to IAPC's Bank Account. Cheque / DD will not be accepted.

    Account Holder: Indian Association of Palliative Care
    Account type: Current Account
    Account No.: 33808019294
    IFSC Code: SBIN0001536
    MICR Code: 110002005
    Bank: State Bank of India, AIIMS Campus, Ansari Nagar East, New Delhi – 110029
    Branch Name: Ansari Nagar East

     


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