FOGSI - Ethicon Travelling Fellowship

Applications are invited for 2 FOGSI Ethicon Travelling Fellowships for the year 2011 from members of affiliated Societies of FOGSI.

Qualifications and Requirements of the Applicant : (Without proof we will not accept your application.)

Applicant should be not more than 35 years of age (Proof of age should be submitted).
Applicant should possess M.D. / M.S. (Obst & Gyn) or any equivalent qualification. (Certified true copy of the Certificate to be attached).

Fellowship : The amount of Fellowship is Rs.5,000/- each, during the year 2012 for the purpose of Observing / Studying specialized advance work in the field of Obstetrics & Gynaecology, in selected institutions in India. The duration of the fellowship will not be more than 6 weeks.

Last date for receiving your application will be 31st July, 2012.

For the Application form and further details :

Format of the Form
FORM FOR APPLICATION FOR 'FOGSI - ETHICON TRAVELLING FELLOWSHIP FOR THE YEAR 2012
I	1) NAME	:
	2) ADDRESS	:
	3) AGE	:	4) BIRTH DATE :
II	1. Qualifications and any distinction or prizes in undergraduate or postgraduate examination :
	2. Number of attempts at M.B.B.S. / M.S. (Obst & Gyn) or any equivalent qualification from Universities (1st, 2nd & 3rd) :
III	1. Present appointment (Please furnish Proof) :
IV	1. Previous posts held (Please furnish Proof) :
V	1. Articles published (One reprint of each article must be sent) :
	a) Title	b) Name of the Journal	c) No. & Date of Journal Issue d) Co-Authors if Any
VI	1. Articles under publication (True copy of letter of acceptance must be submitted ) along with short abstracts. :
VII	1. Papers read at the All India Obstetric & Gynaecological Congress (prizes received in any, please furnish the letter from Organising Secretary of the Congress about reading the paper):
VIII	1. Attendance at All India Obst & Gyn. Congress (Please furnish the letter of attendance from the Organising Secretary of the Congress). Number of Congress attended along with dates :
IX	1. Research done if any
X	1. Name of the Institution / Institutions and Hospitals and particular subjects in which candidate would like to work (Please give full details) :
XI	1. Any Additional Information
	Name of 2 references along with addresses

Signature of the candidate
Date :