Online Registration

* All are Mandatory fields.
 
Name * :
Address * :
City * :
Mobile * :
Email * :
Number of arthoroplasties done : *
Performed by your self :
TKR :
THR :
Assisted :
TKR :
THR :
Hospital set-up : *
No. of beds :
Laminar Flow :
Payment Option : *
Select Payment Option :
Amount : USD 15.00
Bank name* :
A/c Name * :
Cheque No* :
Submit
 

Notes:-
To register please send us an email/make a call.

Co-ordinator:
Ms. Smita:+91 99796 92131
Phone No: +91 79 26732131

Chandra Knee Foundation
Address: 401, Galaxy Mall, Opp. Jhansi ki Rani BRTS Bus Stop, Nr. Shivaranjani Cross Road, Satellite, Ahmedabad - 380015.

Also For Registration Send an Email: registration@chandrakneefoundation.com
Website: www.chandrakneefoundation.com