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SMART  - Successful   MRCPCH   Approach   and   Rapid   Training
     
 
Registration Form  
If you prefer to submit registration form by post,
Click here to Download the Form.
 
     
 
Personal Details
Title
First Name  
Last Name  
Age  
Sex  
Medical Degrees  
Designation
Contact Details
Line 1  
Line 2
City  
Pin Code  
Mobile No  
Whatsapp No  
E - Mail    
Working Hospital And City  
Course Details
When r u planning to take the exam?  
Which one of the following best describes you?


 
Which course do you want to register?*


Course Dates  
Registration Amount:
Course Registration Amount
MRCPCH Part I Course (3 days)Rs 10000/-
MRCPCH Part II Course (3 days)Rs 10000/-
MRCPCH Clinical Course (3 days)(includes all 10 stations)
Rs 35000/-
MRCPCH Clinical Mock Exam Course (2 days)
Rs 20000/- (places are limited)
NOTE : Online payment facility (via internet Bank transfer ) is available. The account details will be emailed once online registration details are submitted. Online credit card payment facility is currently not available.
IMPORTANT: You must send DD/Cheque in favour of "Smart Academy" payable at Chennai. to the following address.
Address
SMART Academy,
35, Maruthi Nagar First Main Road,
Maruthi Nagar Phase III,    Thundalam, (Near Iyyappanthangal)
Chennai - 600077.
Once we receive the DD/ Cheque, we will send Confirmation of place in Course by EMAIL ONLY. If you have not received the email confirmation within 10 days of sending the cheque/DD, please contact us by email or phone.
Security Code
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Payment received Details
Payment received
Attended Course
Exam Result
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Payment Mode

Bank
Bank Branch
Date
Transfer ID /  DD/  cheque Number
DD/  cheque deposit date
Transfer Mode
Money credited
If cash,  To whom
 
     
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