SASSM School, India Dept. of Psychiatry and Clinical Psychology, JSSMC&H & JSSAHER,

Psychiatry & Human Sexuality Section, WPA

Karnataka Sexual Sciences Academy(R), Mysore

Intensive Residential Clinical Skills

Training Workshop In PSCHOSEXUALMEDICINE

1st to 3rd October 2024

REGISTRATION FORM

PAYMENT SHALL BE RECIVED BY

BANK NAME: STATE BANK OF INDIA

ACCOUNT NAME: KARNATAKA SEXUAL SCIENCES ACADEMY(R)

ACCOUNT NUMBER: 38450832183

GST NUMBER: 29AADTK9027A1ZP

IFSC CODE: SBN0040249

ADDRESS: STATE BANK OF INDIA JSS COLLEGE BRANCH, RAMANUJA ROAD, MYSORE 570004, KARNATAKA