TRAINING APPLICATION FORM - Jaiprakash Hospital And Research Centre

Training Application Form (For Internship / Observership / Vocational Training)

TRAINING APPLICATION FORM

Requester’s Details

Full Name

Date of Birth

Gender

Male

Female

Others

Contact Number

Email

Address Line 1

Address Line 2

City

State

Pin Code

Country

Academic Details

Highest Qualification

Date of Completion

Name of Institution/College

Are you currently pursuing any academic course or degree program?

Yes

No

Name of Institution/College

Year/Semester

Expected Date of Completion of the course

Course/Program

Date of Joining the course

Training Details

Department/Area of Interest

Proposed Start Date

Duration of Training (In Days)

Do you have any recommendation letter from your institution?

Yes

No

Upload recommendation letter

Choose File

Purpose of Training (Briefly mention your objective for applying)

I hereby declare that the information provided above is true and correct to the best of my knowledge. I agree to abide by all the rules, regulations, and policies of Jaiprakash Hospital and Research Centre during my training period. I understand that any violation may result in termination of my training.

TRAINING APPLICATION FORM

Rules and Regulations for JP NURSICON 2026

By registering for JP NURSICON 2026, I acknowledge and agree to the following terms and conditions:

Accuracy of Information:
- I confirm that the details provided in the registration form are true and accurate to the best of my knowledge.
- Any false or misleading information may result in cancellation of my registration without a refund.
Registration and Payment:
- My registration will be considered valid only after successful payment confirmation.
- The registration fee is non-refundable and non-transferable under any circumstances.
Participation and Conduct:
- I agree to maintain professionalism and decorum throughout the event.
- Any misconduct, inappropriate behavior, or violation of conference guidelines may result in my removal from the event without a refund.
Event Attendance and ID Verification:
- I must carry a valid government-issued ID or my institutional ID for verification at the registration desk.
- Entry to the conference venue will be granted only to registered participants with a valid conference ID badge.
Workshops and Scientific Sessions:
- I understand that workshop materials and session content are intellectual property and should not be recorded, copied, or distributed without prior permission.
Liability Disclaimer:
- The organizing committee and Jaiprakash Hospital shall not be held responsible for loss, theft, or damage to personal belongings during the event.
- I agree to adhere to all safety protocols and event guidelines provided by the organizers.
Media Consent:
- I grant permission for my photographs, videos, or testimonials taken during the event to be used for promotional and educational purposes by the organizers.
- If I do not wish to be photographed or recorded, I will inform the event organizers in advance.
Health & Safety Compliance:
- I will comply with any health and safety measures implemented by the event organizers, including COVID-19 protocols (if applicable).
Modification of Terms:
- The organizing committee reserves the right to modify the event schedule, speakers, or rules at any time without prior notice.

? By checking this box, I confirm that I have read, understood, and agree to abide by the Rules and Regulations of JP NURSICON 2026.