Questions marked with a * are required
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ACUSIS ABHINAVA @ MYSORE

(This form is to be entered ONLY if you are a practising Medical Transcription Industry Professional
 
PERSONAL DETAILS
 
 
First Name *
   
Last Name
   
 
 
Your Landline Number (pls be accurate) *
   
Your Mobile Number (pls be accurate)
   
 
 
Personal E-mail ID 1: *
   
 
 
What is your date of birth? *
MonthDayYear
   
 
 
WORK EXPERIENCE
 
 
Current Employer Name: *
   
Current Designation: *
   
 
 
Current Monthly Earning? *
 
 
Total Medical Transcription Industry Experience (including your MT Training)? *
 
 
Have you ever worked from Home ? *
 
 
 
      
 
 
I Agree that I am a practising Medical Transcription Industry professional and would be visiting Acusis Abhinava Seminar on September 07, 2008 at 11 a.m.

Please note that this is a transcription industry specific seminar open to strictly practising medical transcription industry professionals. Any other non transcription industry individuals/relatives/friends/children will not be allowed into the seminar. *
 
 
 
 
Feel free to outline any expectations you have from Acusis Abhinava Seminar at Mysore? (Pls tell us briefly)
   
 
Please contact sathish.kumar@acusis.com or call Dr. Sathish Kumar on 9845472751 (between 10 a.m. to 6 p.m. (mon to sat) if you have any questions regarding Acusis Abhinava