Training for Ethics Committee Members Date: 29th June 2019 Time: 8.00 AM – 1.30 PM, Venue: Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar

Full Name*
Designation
Institutional Affiliation
Department
Current Address*
City*
State*
Contact Details
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Participating as *

Name of the ethics committee where you are a member

How long have you been a member of EC

Year Month

Have you attended any earlier ethics training program (last 3 years)

(A confirmation email with registration details will be sent to you on email mentioned above.)
Note :- All * fields are mandatory