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Application Form

SPARSH Hospital
#29/P2, Narayana Health City,
Bommasandra Industrial Area,
Hosur Road, Bangalore (India) 560099
Tel: +91 80 27835921
Email: stc@sparshhospital.com
SPARSH Trauma Course
Name
Phone:
Email-id:
Cheque/ DD No:
Grade:
Trainee/Consultant
Speciality:
Trauma & Orthopaedics/ Plastic Surgery
Present Hospital:
Contact Address

Please Note:
Course Fees Till 1st May After 1st May
Trainees Rs 750/- Rs 850/-
Consultants Rs 1500/- Rs 1700/-
Last Date: 1st May 2009

Please send completed form, along with a cheque/DD for made payable to SPARSH Hospital to:Trauma course coordinator
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© Copyright 2012 Sparsh Hospital. All Rights Reserved
Unit of Shiva & Shiva Orthopedic Hospital Pvt. Ltd., #29/P2, The Health City, Bommasandra Industrial Area, Hosur Road, Bangalore (India) 560099
Tel: +91-80-33271000 | Fax: +91-80-33271111 | Ambulance: 9900100088 | Email: info@sparshhospital.com