Pushpagiri Medical College Hospital,Thiruvalla
(+91) 469-2700755 / Ext: 476 [email protected]

Online Registration

You can also register online by submitting your information through the below application form. (Note: payment transfers are done through NEFT or Cheque only)

Registration Fee: Rs. Five thousand only (Rs. 5,000/-)

For any queries contact – Phone: (0) 469 2601448 / 2700755 Extn. : 476

Email ID[email protected]

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Account Details – For online transaction

Account No: 0588-0530-0000-6312

South Indian Bank,

Tiruvalla Pushpagiri Branch,

IFSC Code: SIBL 0000588

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Payment by Demand Draft –

In favour of – “NIBU VARGHESE”, Account No. 6312

Payable at – South Indian Bank, Tiruvalla Pushpagiri Branch


MESSAGE: If in any case your message was not sent upon “Submit”, please send us your details by email to [email protected]

Name in full (required):

Enter your Age (required):

Sex: MF

Telephone No (required):

Veg./Non-Veg.: VegNon-Veg

Present Designation (required):
Current Employer (required):

Your Email (required): All correspondence by email only, unless specifically requested

Postal Address for mailing the Course Manual (required):

Payment (required) Option 1: DD No: DD Amount (required):
DD Date (required): Drawn on Bank (required):

Payment (required) Option 2: NEFT Transaction Details: