Manaar Course Application

Application Reference

Full Name*

Email*

Contact Number*

Requester Organization*

Organization Name*

Department*

Hospital / Department*

Name of HC / Department*

Course Title*

Course type*

CME Accredited Course?*

Accreditation No & CME Points*

Course Availability*

Expected No. Of Attendees/Year*

Learner Assessment Required ?*

Course certificate required?*

Learner Course repetition Required ?*

Frequency*

Brief description about course*

No. of course sessions / Modules*

Course Duration*

Course Objectives*

Course Goal / Outcome*

Targeted Audience*

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Name

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