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Page 1: Workshop Registration Form

7/21/2019 Workshop Registration Form

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  WHO Collaborating Centre for Research & Training in

  Educational Development of Health Personnel

  COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN

  Workshop Registration Form

Instructions:

• Please complete this Registration Form for CPP !andator" Wor#shops$

• Tic# appropriate bo%$

Status:  upervisor   Trainee Workshop Center Choice: 'elect One Centre Onl"(

)arachi *ahore +slamabad Pesha,ar

!ultan -aha,alpur  Faisalabad .bbottabad

/uetta H"derabad *ar#ana  0a,abshah

 0epal !u1affarabad Rahim"aar )han Others2 3333333333 

Title of Workshops: (can select more than one)Supervisors Workshop: Trainees Workshop:

Education Planning and Evaluation (To be attended first)   Communication #ills

.ssessment of Competence +ntroduction to Computer & +nternet

upervisor" #ills +T E%emption Test

 R!- & !W4 Primar" urgical #ills

  R!- & DW44

  Research !ethodolog"5 -iostatistics and !edical Writing$ Research !ethodolog"5 -iostatistics and Dissertation Writing$

 

!ote:  Trainees having sufficient #no,ledge of Computer5 Windo,s Operating "stem5 ! Office5 P & +nternet

ma" instead ta#e "IT #$emption Test%&

PERSONAL DETAIL

CPSP ID (Mandatory): RTMC Re No:

Na!e: Fat"er#$%H&$'and Na!e:

CNIC No Date o *+rt":

De$+nat+on: S,e-+a.+ty:In$t+t&t+on:

Re$+dent+a. Addre$$:

Ce.. No: E/!a+.:

WORKSHOP FEE DETAIL

 A!o&nt R$: (In 0ord$)

C"a..an % Drat$ % Pay order No: Dated:

*an1: *ran-":

 Date: 22222222222222222222222222222222222222222 S+nat&re: 2222222222222222222222222222222 


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