Research and Ethics - Training Request Form

Welcome to Shifa Center of Professional Excellence (SCOPE). Please fill this form so that we can better understand your requirements.

GENERAL INFORMATION

Name of Organization/Institute

Please mention full name

Title of Training

Start Date

dd/mm/yyyy

End Date

dd/mm/yyyy

Time / Duration (Teaching hours)

Expected number of learners

Level of learners

Others (Please Specify)

Educational Format

Please select the educational format

Learning Objectives

What are the learning objectives of your training?

Program Schedule & Resume

Upload your schedule of the training and your resume/CV

Drop your files here

TERMS AND CONDITIONS

* Local level activities require prior intimation of Four Weeks and will be conducted after approval. * National level activities require prior intimation of Three Months and will be conducted after approval. * International level activities require prior intimation of Five Months and will be conducted after approval. * Any literature related to activity must receive the prior approval before publication/printing i.e. announcements (written or e-mail), brochures, flyers, banners etc.

Attestation

I, Planner, attest that the information given above is correct to the best of my knowledge:

Ticking the checkbox below is to be considered the equivalent of my signature and consent for the above.

Phone Number & Email Address

Planner

NOTE

Please allow one week from submission of the pre-application to receive a response as to whether to move forward with the full application.

Send me a copy of my responses

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