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

Fields marked (*) are mandatory.

Personal Information

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

Contact Information

 
Present Address *
 
PIN *
 
Country *
 
State *
 
City *
 
Mobile *
 
Permanent Address * If Same as Present
 
PIN *
 
Country *
 
State *
 
City *
 
Phone *
 
 

Educational & Professional Information

 
Education - Degree *
 
If Others, please specify
University *
 
Upload CV *
 
DOC, DOCX, PDF files allowed
Upload Certificate 1

PDF, JPEG files allowed
Upload Certificate 2

PDF, JPEG files allowed
Experience Certificate

PDF, JPEG files allowed
 

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

 
Preference One *
    Select Mentor
Preference Two (Optional)
Note: Mentor will be assigned based on their availability. In case of unavailability another mentor will be assigned.
Enter Verification Code*
Captcha
can't read? refresh


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.