FORM-FRCR 2A PREPARATORY COURSE – Tata Medical Center

LEEDS –TMC FRCR 2A PREPARATORY COURSE, CLINICAL ONCOLOGY

Registration Form

WITH Direct Transfer , NEFT OR UPI PAYMENT OPTION

Personal Information:

Name *

E-Mail *

Contact Number *

Address *

City *

Country *

Current Description of Work *

Place of Work (Name of hospital / Institution) *

Academic Information:

Have you appeared for the FRCR Part-1 examination? *

Have you passed the exam? If yes, Please select the papers that you have passed. (Ctrl + Click to select multiple options) *

Have you appeared for FRCR 2A Exam? *

Have you passed FRCR 2A? *

Payment:

Payment Mode *

NEFT / Transfer Reference No *

NEFT / Transfer Date *

NEFT / Transfer Amount *

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Bank Detail for NEFT Payment

Account Name: Tata Medical Centre Trust
Bank Name: HDFC Bank Limited
Bank Account Number: 00601-6600-00021
Bank Account Type: Savings Account
Bank Branch: Fort Mumbai
IFSC : HDFC0000060

Registration Form

WITH CREDIT CARD OR DEBIT CARD PAYMENT OPTION

Personal Information:

Name *

E-Mail *

Contact Number *

Address *

City *

Country *

Current Description of Work *

Place of Work (Name of hospital / Institution) *

Academic Information:

Have you appeared for the FRCR Part-1 examination? *

Have you passed the exam? If yes, Please select the papers that you have passed. (Ctrl + Click to select multiple options) *

Have you appeared for FRCR 2A Exam? *

Have you passed FRCR 2A? *

Payment:

Payment Mode *

This contact form is deactivated because you refused to accept Google reCaptcha service which is necessary to validate any messages sent by the form.

LEEDS –TMC FRCR 2A PREPARATORY COURSE, CLINICAL ONCOLOGY

Registration Form

Bank Detail for NEFT Payment

Registration Form

CONTACT INFORMATION

For Patients

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Tata Medical Center, Kolkata