← आवेदन पर वापस
FOGSI · आवेदन फ़ॉर्म

FOGSI प्रशिक्षण आवेदन फ़ॉर्म।

FOGSI का मानक फ़ॉर्म। नीचे भरें, फिर हस्ताक्षरित प्रति प्रिंट करके डिमांड ड्राफ्ट के साथ डाक से भेजें, या रिकॉर्ड के लिए एक प्रति ईमेल से भेजें।

हस्ताक्षरित प्रिंटेड प्रति को डिमांड ड्राफ्ट के साथ FOGSI कार्यालय को डाक से भेजना अनिवार्य है।

The Federation of Obstetric & Gynecological Societies of India

C – 5, 6, 7, 9, 12, 13, 1st Floor, Trade World, Kamala City,
Senapati Bapat Marg, Lower Parel (W), Mumbai – 400 013
Tel: +91-22-2495 1648, 2495 1654, 2494 8032, 22-2494 8048
Email: fogsi2007@gmail.com, Office@fogsi.org, training@fogsi.org  ·  Web: www.fogsi.org

Application form for training courses

Basic / Advanced Infertility / IUI in Obstetrics & Gynecology

Basic Infertility — 7 days course TrainingAdvanced Infertility — 14 days course TrainingIUI & Stimulation — 2 days Course Protocol

For FOGSI members having a Degree and Diploma in Obstetrics and Gynecology from MCI-recognized universities.

The course Director of each Centre should send proper & complete form or in the standard ready form prepared by FOGSI.

Name of the Centre:
Surname:
First Name (Dr.):
Middle name:
Name on Certificate (Dr.):
Sex:
Date of Birth (DD / MM / YY):
Qualification:
Address:
City:
State:
Pin:
Mobile:
Email ID:
Member of:Obstetric and Gynecological Society
D.D. No.:
Drawn on:
Rs.:
No. of Days:
From:
To:
Signature of Applicant:
Course selection

Course Fees

Fees are paid by a Demand Draft or a Banker's Cheque payable at Mumbai in favour of “FOGSI”. Along with the DD this form is to be submitted with choice of Centre and preferable months you would like to have the training. All applications should be sent to FOGSI Office. FOGSI Awardees of Travelling fellowship will get two weeks training free for their particular year. A completion certificate will be issued after successful completion of the course.

Approved by: Dr.:
Signature:
Issued On:
Form Revised on:
Revision No.:

Disclaimer: The training courses are meant to be comprehensive refresher training for already qualified Ob-Gyn (Category A) candidates. The information provided during training is not intended to substitute for formal medical training or certification. FOGSI is in no way responsible for legal credentialing or training in any procedure or technique, nor are the training programs described a replacement for credentialing requirements. All curricula described are subject to change depending on available resources, as well as on the needs of the course participants. FOGSI cannot take responsibility for the services provided by the trainees / trainers. FOGSI is registered trademark and the logo is to be used only as per the guidelines.