International Fellowship Training Program in Gynecologic Endoscopic Surgery
(One-year Course)
Department of Obstetrics and Gynecology,
Faculty of Medicine Siriraj Hospital
Mahidol University

International Fellowship Training Program in Gynecologic Endoscopic Surgery
(Three-month Course)
Department of Obstetrics and Gynecology,
Faculty of Medicine Siriraj Hospital

International Fellowship Training Program in Gynecologic Endoscopic Surgery
(Six-month Course)
Department of Obstetrics and Gynecology,
Faculty of Medicine Siriraj Hospital
Mahidol University

Application Form One-year Course

Application Form International Fellowship Training Program On Gynecologic Endoscopy and Minimally Invasive Therapy
First Name* :
Last Name* :
Education:  
School of undergraduate Study* :
Year of graduation :
School of post-graduate Study :
Position & work Place* :
City* :
Country* :
Telephone* :
Mobile* :
E-mail* :

 

"If you have a problem on registration online, please download registration form and return to sipcs@mahidol.ac.th.or send by fax directly to Registration Department by fax number Fax +662-4114245 Tel +662-4197000 ext 4744"

 

Documents needed for International Fellowship Training Program application:

1. Certificates of Medical Education.
2. Medical License
3. Certificate from the work place
4. Two portraits 2x2 inches (not beyond 1 year)
5. Curriculum Vitae


Contact Person:

Professor Dr. Pongsakdi Chaisilwattana
Director of The Thai-German Multidisciplinary Endoscopic Training Centre.
Department of Obstetrics& Gynecology,
Faculty of Medicine Siriraj Hospital
Mahidol University
Bangkok 10700
Thailand
E-mail address: sipcs@mahidol.ac.th