Dr. V. Balakrishnan Memorial CME Programs DEPARTMENT OF BIOTECHNOLOGY Venue: AV Hall, DEPARTMENT OF BIOTECHNOLOGY Date : 05 February 2019, 09:30 am Theme: Clinical Cardiology Registration Form Registration fee: Rs. 50/- per participant Fields marked with (*) are mandatory NAME WITH INITIAL * INSTITUTION* GENDER * Select Gender Male Female TransGender ADDRESS FOR COMMUNICATION * COUNTRY* Select Option India Other Country STATE* DISTRICT* PINCODE* MOBILE* WHATSAPP MOBILE NO* E-MAIL*