PART-A (Registration Details)

Reference ID 2018-00351

Email ID kapoorsuvansh@gmail.com

Course Details

Name Mr. SUVANSH KAPOOR

Date of Joining 25/09/2014 dd/mm/yyyy

Course MBBS

Year 4th Prof

Maharishi Markandeshwar Medical College &

College Name
Hospital, Solan

Near laddo village, Kumarhatti Solan

College Address Solan

173229
Himachal Pradesh

College Telephone 0179-2395111 Extension

Student Personal Details

Gender Male

Nationality Indian

Date of Birth 02/01/1995 dd/mm/yyyy

1115 sector 4 GURUGRAM U.E HARYANA

Home Address GURUGRAM

122001
Haryana

Mobile 8700083404

Alternate Mobile 8351985730

Alternate Email ID kapoorsuvansh2@gmail.com

Residence Telephone No. 0124-4101115

Where correspondance to be sent Home

 Part-B (Guide Details)

Guide Name Dr. Richa Mahajan

Designation Lecturer

Department COMMUNITY MEDICINE

Maharishi Markandeshwar Medical College &

College
Hospital, Solan

Maharishi Markandeshwar Medical College &

Hospital , Near laddo village, Kumarhatti Solan, H.P
College Address
LADDO VILLAGE, SOLAN 173229 Himachal
Pradesh

Mobile 7889556738

Telephone Residance: - Office: - Extension

Guide email dr.richamahajan27@gmail.com

PART-C (Attachments)

Application Attestation Form Yes

Ethical Clearance No

Inform Consent Form Yes

Case Study Form No

Study Questionnaire Yes

PART-D (Proposal Details)

Knowledge and Awareness of Risk factors

associated with Polycystic Ovarian Syndrome among
Title women of reproductive age group attending
Gynaecology OPD at Tertiary care Hospital, Solan
District,H.P

Type of Study Health Education

Subject Area Gynecology & Obestetrics

Department GYNAECOLOGY AND OBSTETRICS

(where study will be conducted) DEPARTMENT

Research Proposal Yes