Course Application Form

To apply for any of our courses, please fill in the form and send us your details.

Also, please DOWNLOAD the 'Microsoft Word' version of the form, print it, fill it up and post it to us.

Fields marked * must be filled.

Course title interested in
(select atleast one course)*

	Planning, Monitoring & Evaluation (PME) of Health Programmes
	Effective Implementation & Supervision of Community Health Programmes

Name of the applicant*

Gender*

Male Female

Organisation name and address*

Telephone*

Fax

Email*

Comments/requirements