Fill in the form below to register for Diabetes Educators Course.

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Personal Information

 
First Name *
 
Middle Name *
 
Last Name *
 
Gender *
 
Date Of Birth *
Date Of Registration *
Email ID (Username) *
 
 

Contact Information

 
Present Address *
 
PIN *
 
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Permanent Address * If Same as Present
 
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Educational & Professional Information

 
Education - Degree *
 
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University *
 
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Upload Certificate 1

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Upload Certificate 2

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Experience Certificate

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Mentor Selection (Select a mentor under whom you will working for 3 months)

 
Preference One *
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Preference Two (Optional)
Note: Mentor will be assigned based on their availability. In case of unavailability another mentor will be assigned.

Life Goals

 
Kindly provide us your future goals; how will this course help you achieve this goal.*
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Diabetes Educators Course

Course Duration  :  6 months

Course Fees          :  Rs. 10,000

I agree to abide by the terms and conditions laid by HDDT. *

Financial Supporters


  • U S Vitamins Limited

  • Novo Nordisk Pvt. Ltd.

  • Roche Diagnostics Pvt. Ltd.