HANDS ON | India's First AI Simulation Institute

1

Applicant Category

I am applying as *

Medical Student Nursing Student Paramedic / Allied Health

2

Personal Details

First Name *

Last Name *

Mobile Number *

Must be 10 digits starting with 6-9

Number Verified Successfully

Email Address *

WhatsApp Number

3

Emergency Contact

Emergency Contact Number *

Must be 10 digits starting with 6-9

Relationship *

4

Skills Lab Enrollment

Skill Modules You Wish to Enroll In *

Basic Life Support (BLS) & CPR Advanced Cardiac Life Support (ACLS)

5

Documents Upload

Recent Passport-Size Photo *

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Application Form