{"id":4036,"date":"2020-07-06T17:15:07","date_gmt":"2020-07-06T17:15:07","guid":{"rendered":"https:\/\/tmckolkata.com\/tmc\/events\/registration-for-skull-base-surgery-workshop-2020-copy\/"},"modified":"2025-12-02T04:22:55","modified_gmt":"2025-12-02T04:22:55","slug":"registration-for-prayash-tmc-echo-program","status":"publish","type":"page","link":"https:\/\/tmckolkata.com\/in\/education\/registration-for-prayash-tmc-echo-program\/","title":{"rendered":"Registration for PRAYASH TMC-ECHO PROGRAM (CST-HP)"},"content":{"rendered":"<div id='av-layout-grid-1'  class='av-layout-grid-container av-3znmz6-f261ea6a19a67a36367cd24bf4acbbb7 entry-content-wrapper main_color av-fixed-cells  avia-builder-el-0  el_before_av_heading  avia-builder-el-first   container_wrap sidebar_right'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3tm3yi-9a9e6bd09c03178b9cc7d7a30122e29b\">\n.flex_cell.av-3tm3yi-9a9e6bd09c03178b9cc7d7a30122e29b{\nvertical-align:middle;\nbackground:url(https:\/\/tmckolkata.com\/in\/wp-content\/uploads\/2025\/04\/echo_header.jpg) 50% 50% no-repeat scroll #c1c1c1;\n}\n.responsive #top #wrap_all .flex_cell.av-3tm3yi-9a9e6bd09c03178b9cc7d7a30122e29b{\npadding:80px 80px 80px 80px !important;\n}\n<\/style>\n<div class='flex_cell av-3tm3yi-9a9e6bd09c03178b9cc7d7a30122e29b av-gridrow-cell av_one_full no_margin  avia-builder-el-1  avia-builder-el-no-sibling  content-align-middle'  ><div class='flex_cell_inner'><\/div><\/div>\n<\/div><div id='after_grid_row_1'  class='main_color av_default_container_wrap container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-4036'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6gacs4-1d930689683ce5e5e02f87ddb5e4e08e\">\n#top .av-special-heading.av-6gacs4-1d930689683ce5e5e02f87ddb5e4e08e{\npadding-bottom:20px;\n}\nbody .av-special-heading.av-6gacs4-1d930689683ce5e5e02f87ddb5e4e08e .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-6gacs4-1d930689683ce5e5e02f87ddb5e4e08e .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-6gacs4-1d930689683ce5e5e02f87ddb5e4e08e av-special-heading-h2 blockquote elegant-quote elegant-centered  avia-builder-el-2  el_after_av_layout_row  el_before_av_hr  avia-builder-el-first  av-thin-font av-linked-heading'><h2 class='av-special-heading-tag '  itemprop=\"headline\"  ><span class=\"heading-wrap\"><strong>PRAYASH TMC-ECHO PROGRAM (CST-HP12)<\/strong><\/span><\/h2><div class='av-subheading av-subheading_below'><p>Select either <strong>NEFT \/ Direct Transfer \/ QR-Code<\/strong> or <strong>Card<\/strong> for payment (Rs. 750)<\/p>\n<\/div><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-juwbx33x-7dae2a6c047af15c6f97887b0f413adc\">\n#top .hr.hr-invisible.av-juwbx33x-7dae2a6c047af15c6f97887b0f413adc{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-juwbx33x-7dae2a6c047af15c6f97887b0f413adc hr-invisible  avia-builder-el-3  el_after_av_heading  el_before_av_one_half '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-q4s5h6-11-d203040a1412040de1678eea91d682c0\">\n.flex_column.av-q4s5h6-11-d203040a1412040de1678eea91d682c0{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-q4s5h6-11-d203040a1412040de1678eea91d682c0 av_one_half  avia-builder-el-4  el_after_av_hr  el_before_av_one_half  first flex_column_div av-zero-column-padding  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2o43as-0dcc16ca2e1c031a6e7f9d22094bd724\">\n#top .av-special-heading.av-2o43as-0dcc16ca2e1c031a6e7f9d22094bd724{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-2o43as-0dcc16ca2e1c031a6e7f9d22094bd724 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-2o43as-0dcc16ca2e1c031a6e7f9d22094bd724 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-2o43as-0dcc16ca2e1c031a6e7f9d22094bd724 av-special-heading-h2 blockquote modern-quote  avia-builder-el-5  el_before_av_contact  avia-builder-el-first  av-linked-heading'><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >REGISTRATION FORM<\/h2><div class='av-subheading av-subheading_below'><p>With <strong>Direct Transfer<\/strong>, <strong>QR-Code <\/strong>or <strong>NEFT<\/strong> payment option<\/p>\n<\/div><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<form action=\"https:\/\/tmckolkata.com\/in\/education\/registration-for-prayash-tmc-echo-program\/\" method=\"post\" data-fields-with-error=\"Found errors in the following field(s):\" class=\"avia_ajax_form av-form-labels-hidden   avia-builder-el-6  el_after_av_heading  el_before_av_heading   \" data-avia-form-id=\"1\" data-avia-redirect='' ><fieldset><div id='avia_1_1' class='av-form-text'><p>\n<strong>Personal Information:<\/strong><\/p>\n<\/div><p class='  first_form  form_element form_fullwidth' id='element_avia_2_1'><label for=\"avia_2_1\">Name <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_2_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_2_1\" value=\"\"  placeholder='Name*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_3_1'><label for=\"avia_3_1\">Address <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_3_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_3_1\" value=\"\"  placeholder='Address*'\/><\/p><p class='  first_form  form_element form_element_half' id='element_avia_4_1'><label for=\"avia_4_1\">PIN <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_4_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_4_1\" value=\"\"  placeholder='PIN*'\/><\/p><p class='  first_form  form_element form_element_two_third' id='element_avia_5_1'><label for=\"avia_5_1\">E-Mail <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_5_1\" class=\"text_input is_email\" type=\"text\" id=\"avia_5_1\" value=\"\"  placeholder='E-Mail*'\/><\/p><p class='  first_form  form_element form_element_half' id='element_avia_6_1'><label for=\"avia_6_1\">Phone <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_6_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_6_1\" value=\"\"  placeholder='Phone*'\/><\/p><p class='  form_element form_element_half' id='element_avia_7_1'><label for=\"avia_7_1\">Mobile <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_7_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_7_1\" value=\"\"  placeholder='Mobile*'\/><\/p><div id='avia_8_1' class='av-form-text'><p>\n<strong>Professional Information:<\/strong><\/p>\n<\/div><p class='  first_form  form_element form_fullwidth' id='element_avia_9_1'><label for=\"avia_9_1\">Qualification <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_9_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_9_1\" value=\"\"  placeholder='Qualification*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_10_1'><label for=\"avia_10_1\">Institute <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_10_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_10_1\" value=\"\"  placeholder='Institute*'\/><\/p><div id='avia_11_1' class='av-form-text'><p>\n<strong>Payment:<\/strong><\/p>\n<\/div><p class='  first_form  form_element form_fullwidth' id='element_avia_12_1'><label for=\"avia_12_1\">Payment Mode: <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select  name=\"avia_12_1\" class=\"select is_empty\" id=\"avia_12_1\"><option class=\"av-placeholder\" disabled=\"disabled\" selected=\"selected\" value=''>Payment Mode:*<\/option><option   value='NEFT \/ Direct Transfer'>NEFT \/ Direct Transfer<\/option><option   value='QR-Code'>QR-Code<\/option><\/select><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_13_1'><label for=\"avia_13_1\">NEFT \/ Transfer \/ QR-Code Reference No.: <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_13_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_13_1\" value=\"\"  placeholder='NEFT \/ Transfer \/ QR-Code Reference No.:*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_14_1'><label for=\"avia_14_1\">NEFT \/ Transfer \/ QR-Code Date: <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_14_1\" class=\"text_input is_empty\" type=\"text\" id=\"avia_14_1\" value=\"\"  placeholder='NEFT \/ Transfer \/ QR-Code Date:*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_15_1'><label for=\"avia_15_1\">NEFT \/ Transfer \/ QR-Code Amount: <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select  name=\"avia_15_1\" class=\"select is_empty\" id=\"avia_15_1\"><option class=\"av-placeholder\" disabled=\"disabled\" selected=\"selected\" value=''>NEFT \/ Transfer \/ QR-Code Amount:*<\/option><option   value='Rs. 750'>Rs. 750<\/option><\/select><\/p><p class=\"hidden\"><input type=\"text\" name=\"avia_16_1\" class=\"hidden \" id=\"avia_16_1\" value=\"\" \/><\/p><p class='   form_element form_fullwidth' id='element_avia_17_1'><span class='value_verifier_label'>3 + 4 = ?<\/span><input name=\"avia_17_1_verifier\" type=\"hidden\" id=\"avia_17_1_verifier\" value=\"346785477\"\/><label for=\"avia_17_1\">Please prove that you are human by solving the equation <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><input name=\"avia_17_1\" class=\"text_input captcha\" type=\"text\" id=\"avia_17_1\" value=\"\"\/><\/p><p class=\"form_element \"><input type=\"hidden\" value=\"1\" name=\"avia_generated_form1\" \/><input type=\"submit\" value=\"Submit\" class=\"button\"  data-sending-label=\"Sending\"\/><\/p><\/fieldset><\/form><div id=\"ajaxresponse_1\" class=\"ajaxresponse ajaxresponse_1 hidden\"><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-m0ca578i-423fc63484130d7a8f77e61070bd7005\">\n#top .av-special-heading.av-m0ca578i-423fc63484130d7a8f77e61070bd7005{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-m0ca578i-423fc63484130d7a8f77e61070bd7005 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-m0ca578i-423fc63484130d7a8f77e61070bd7005 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-m0ca578i-423fc63484130d7a8f77e61070bd7005 av-special-heading-h3  avia-builder-el-7  el_after_av_contact  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Bank Detail for Offline Payment<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-m0ca4bb8-f2025f419e36248eb9d7adb7ad7cd806 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Hospital Name:<\/strong> Tata Medical Center<br \/>\n<strong>Payee \/ Cheque Name:<\/strong> Tata Medical Centre Trust<br \/>\n<strong>Hospital Address:<\/strong> 14 Major Arterial Road (EW), New Town, Rajarhat, Kolkata-700160<br \/>\n<strong>Bank Name:<\/strong> HDFC Bank Limited<br \/>\n<strong>Bank Account Number:<\/strong> 00601-6600-00021<br \/>\n<strong>Bank Account Type:<\/strong> Savings Account<br \/>\n<strong>Bank Branch:<\/strong> Fort Mumbai<br \/>\n<strong>Bank Address:<\/strong> Fort Mumbai, Manekji Wadia Building, Groung Floor, Nanik Motwani Marg, Mumbai &#8211; 400001<br \/>\n<strong>IFSC :<\/strong> HDFC0000060<\/p>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-q4s5h6-ac37dcc1d36ceea9e9533f10e8187bed\">\n.flex_column.av-q4s5h6-ac37dcc1d36ceea9e9533f10e8187bed{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-q4s5h6-ac37dcc1d36ceea9e9533f10e8187bed av_one_half  avia-builder-el-9  el_after_av_one_half  el_before_av_layout_row  avia-builder-el-last  flex_column_div av-zero-column-padding  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2jzrsk-9ae190d2e05f2c95d5d6ca213fd49bac\">\n#top .av-special-heading.av-2jzrsk-9ae190d2e05f2c95d5d6ca213fd49bac{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-2jzrsk-9ae190d2e05f2c95d5d6ca213fd49bac .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-2jzrsk-9ae190d2e05f2c95d5d6ca213fd49bac .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-2jzrsk-9ae190d2e05f2c95d5d6ca213fd49bac av-special-heading-h2 blockquote modern-quote  avia-builder-el-10  el_before_av_contact  avia-builder-el-first  av-linked-heading'><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >REGISTRATION FORM<\/h2><div class='av-subheading av-subheading_below'><p>With <strong>Credit Card<\/strong> or <strong>Debit Card<\/strong> payment option<\/p>\n<\/div><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<form action=\"https:\/\/tmckolkata.com\/in\/education\/registration-for-prayash-tmc-echo-program\/\" method=\"post\" data-fields-with-error=\"Found errors in the following field(s):\" class=\"avia_ajax_form av-form-labels-hidden   avia-builder-el-11  el_after_av_heading  el_before_av_image   \" data-avia-form-id=\"2\" data-avia-redirect='https:\/\/tmckolkata.com\/apps\/events\/1131' ><fieldset><div id='avia_1_2' class='av-form-text'><p>\n<strong>Personal Information:<\/strong><\/p>\n<\/div><p class='  first_form  form_element form_fullwidth' id='element_avia_2_2'><label for=\"avia_2_2\">Name <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_2_2\" class=\"text_input is_empty\" type=\"text\" id=\"avia_2_2\" value=\"\"  placeholder='Name*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_3_2'><label for=\"avia_3_2\">Address <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_3_2\" class=\"text_input is_empty\" type=\"text\" id=\"avia_3_2\" value=\"\"  placeholder='Address*'\/><\/p><p class='  first_form  form_element form_element_half' id='element_avia_4_2'><label for=\"avia_4_2\">PIN <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_4_2\" class=\"text_input is_empty\" type=\"text\" id=\"avia_4_2\" value=\"\"  placeholder='PIN*'\/><\/p><p class='  first_form  form_element form_element_two_third' id='element_avia_5_2'><label for=\"avia_5_2\">E-Mail <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_5_2\" class=\"text_input is_email\" type=\"text\" id=\"avia_5_2\" value=\"\"  placeholder='E-Mail*'\/><\/p><p class='  first_form  form_element form_element_half' id='element_avia_6_2'><label for=\"avia_6_2\">Phone <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_6_2\" class=\"text_input is_empty\" type=\"text\" id=\"avia_6_2\" value=\"\"  placeholder='Phone*'\/><\/p><p class='  form_element form_element_half' id='element_avia_7_2'><label for=\"avia_7_2\">Mobile <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_7_2\" class=\"text_input is_empty\" type=\"text\" id=\"avia_7_2\" value=\"\"  placeholder='Mobile*'\/><\/p><div id='avia_8_2' class='av-form-text'><p>\n<strong>Professional Information:<\/strong><\/p>\n<\/div><p class='  first_form  form_element form_fullwidth' id='element_avia_9_2'><label for=\"avia_9_2\">Qualification <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_9_2\" class=\"text_input is_empty\" type=\"text\" id=\"avia_9_2\" value=\"\"  placeholder='Qualification*'\/><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_10_2'><label for=\"avia_10_2\">Institute <abbr class=\"required\" title=\"required\">*<\/abbr><\/label> <input name=\"avia_10_2\" class=\"text_input is_empty\" type=\"text\" id=\"avia_10_2\" value=\"\"  placeholder='Institute*'\/><\/p><div id='avia_11_2' class='av-form-text'><p>\n<strong>Payment:<\/strong><\/p>\n<\/div><p class='  first_form  form_element form_fullwidth' id='element_avia_12_2'><label for=\"avia_12_2\">Mode of Payment: <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select  name=\"avia_12_2\" class=\"select is_empty\" id=\"avia_12_2\"><option class=\"av-placeholder\" disabled=\"disabled\" selected=\"selected\" value=''>Mode of Payment:*<\/option><option   value='Debit Card'>Debit Card<\/option><option   value='Credit Card'>Credit Card<\/option><\/select><\/p><p class='  first_form  form_element form_fullwidth' id='element_avia_13_2'><label for=\"avia_13_2\">Amount: <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><select  name=\"avia_13_2\" class=\"select is_empty\" id=\"avia_13_2\"><option class=\"av-placeholder\" disabled=\"disabled\" selected=\"selected\" value=''>Amount:*<\/option><option   value='Rs. 750'>Rs. 750<\/option><\/select><\/p><p class=\"hidden\"><input type=\"text\" name=\"avia_14_2\" class=\"hidden \" id=\"avia_14_2\" value=\"\" \/><\/p><p class='   form_element form_fullwidth' id='element_avia_15_2'><span class='value_verifier_label'>1 + 3 = ?<\/span><input name=\"avia_15_2_verifier\" type=\"hidden\" id=\"avia_15_2_verifier\" value=\"547684775\"\/><label for=\"avia_15_2\">Please prove that you are human by solving the equation <abbr class=\"required\" title=\"required\">*<\/abbr><\/label><input name=\"avia_15_2\" class=\"text_input captcha\" type=\"text\" id=\"avia_15_2\" value=\"\"\/><\/p><p class=\"form_element \"><input type=\"hidden\" value=\"1\" name=\"avia_generated_form2\" \/><input type=\"submit\" value=\"Submit &amp; Pay\" class=\"button\"  data-sending-label=\"Sending\"\/><\/p><\/fieldset><\/form><div id=\"ajaxresponse_2\" class=\"ajaxresponse ajaxresponse_2 hidden\"><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" 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