First FRCR Course Jan 2025 – Registration Form

This is the 11th year of this highly successful course organized by the Christie School of Oncology, Manchester and Tata Medical Center, Kolkata.

Select either NEFT , QR-Code, Direct Transfer or Card for payment.

Registration will only be confirmed if the form is duly filled up and submitted with relevant details.

Registration Form

WITH Direct Transfer or NEFT PAYMENT OPTION

Personal Information:

Name *

Address *

City *

Country *

E-Mail *

Contact Number (Include country and area code) *

Professional Information:

Training and Work Information (Tell us about your stage of training and your current place of work) *

Current Description of Work *

Place of Work (Name of Hospital/Institution) *

What subjects will you attend? (Press Ctrl + click to select multiple) *

Have you appeared for the First FRCR examination in Clinical Oncology yet? *

Payment:

Payment Mode *

NEFT / Transfer Reference No *

NEFT / Transfer Date *

NEFT / Transfer Amount (INR) *

7 + 1 = ?Please prove that you are human by solving the equation *

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 *

Address *

City *

Country *

E-Mail *

Contact Number (Include country and area code) *

Professional Information:

Training and Work Information (Tell us about your stage of training and your current place of work) *

Current Description of Work *

Place of Work (Name of Hospital/Institution) *

What subjects will you attend? (Press Ctrl + click to select multiple) *

Have you appeared for the First FRCR examination in Clinical Oncology yet? *

Payment:

Mode of payment used *

Amount (INR) *

0 + 4 = ?Please prove that you are human by solving the equation *

First FRCR Course Jan 2025 – Registration Form

Registration Form

Bank Detail for NEFT Payment

Registration Form

CONTACT INFORMATION

For Patients

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Tata Medical Center, Kolkata