ImmersionProgram – gehealthcareinstituteworkshop

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Immersion Program

“One-on-one Observership based training” with leading practicing industry experts.

Full Name (To be on the certificate)*

How would you like to be addressed in the workshop? (Eg- MR/MS/MRS/DR Suriya etc)*

Age*

Gender*

Nationality*

Industry Experience*

Academic Qualifications*

Organization*

Designation*

Address (Office)

City*

State*

Pin code*

Telephone (Office)

Mobile*

E-mail ID*

Key Learning Objectives (Please list bullet points)*

Any Sub-Speciality of Intrest?*

CT (Make and Model):*

MR (Make and Model):*

Number of Days of Immersion Training:

Preference 1:

Preference 2:

Passport size photo*

Resume*

Are you human?*

I agree to the Terms and Conditions

Please note that the training will be considered as imparted in case of no show
*These fields are mandatory.

This field should be left blank