CME/CDE Activity Application Form
Name of Institute
University Medical & Dental College, Faisalabad
Other Institute
(If not included in the list above)
Title of Activity
Type of Activity
CME
CDE
Both
Starting date of Activity
DD/MM/YYYY
Ending Date of Activity
DD/MM/YYYY
Day 1 Activity
Duration in hours (excluding tea break & lunch)
Day 2 Activity
Duration in hours (excluding tea break & lunch)
Day 3 Activity
Duration in hours (excluding tea break & lunch)
Day 4 Activity
Duration in hours (excluding tea break & lunch)
Day 5 Activity
Duration in hours (excluding tea break & lunch)
Total No. of Hours for the entire duration of program
(Excluding tea break & lunch)
Total No. of Facilitators
Names of facilitators (coma (,) separated)
Program Specified for
GP/Admin
Specialists
Both
Total No. of Participants
CVs of all the facilitators (In .zip file format)
List of Participants attending the activity
Detailed program of activities
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