Post Graduate Training Program in Oncology for Occupational Therapists

The Occupational Therapy Department at Tata Memorial Hospital is conducting 3^rd  Post Graduate Training Program in Oncology for Occupational Therapists” on 18^th,19^th , 20^th & 21^st of July 2013. The Tata Memorial Centre has been continuously involved in diagnosis, treatment and research in cancer as well as in training and education to provide the highest standard of patient care from more than 70 years.

Last Date for registration: 30^th June 2013.

Venue: Lecture Hall, 2^nd Floor GJ Block, Tata Memorial Hospital.

Registration charges: Rs 3500/- (Inclusive of Tea and Lunch)

Out station Candidates – Accommodation subject to availability of rooms.

Cheque or DD to be sent in favor of “Tata Memorial Hospital” payable at Mumbai

The registration form is enclosed here with.

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Registration Form

(Occupational Therapist only)

‘Post Graduate Training Course in Oncology for Occupational Therapist’

Tata Memorial Hospital

18^th July 2013 TO 21^stJuly 2013

Full Name in Capital: ________________________________________________

(As required on certificate)

Address for Correspondence:             

                        ____________________________________________________________                                    ____________________________________________________________

                        ____________________________________________________________

                        ____________________________________________________________

                                                                                    Pin code: ______________________

Email: ______________________________

Telephone No (with area code): ______________________   

Mobile: ________________________

Accommodation: Required / Not Required

Mode of Payment: DD/Cheque/ Cash (In favor of ‘Tata Memorial Hospital’ payable at Mumbai)

DD/Cheque No: ___________________     Dated: ___________Bank Name: _________

Send To:

Dr. Rebecca Marri OR Dr Shruti Velaskar OR Dr Jagmohan Meena,

Occupational Therapy Dept.

Room No: 14, Main Bldg,

Tata Memorial Hospital,

Dr E. Borges Road,

Parel, Mumbai – 400 012

Phone: 022 – 24177227.

For more registration forms, photocopy this form or send as email to:

rebeka_mortha@rediffmail.com OR manumarri@rediffmail.com

jlm_therapist@yahoo.co.in,velshruti@gmail.com

NOTE: In-complete registration forms will not be considered.

Attach scanned copy of Degree Certificate.