Application Form

Enroll for Certified Diabetes Educator Training Program

Certified Diabetes Educator Training Program

How to Enroll?

 

  • New batch starts by 1st week November 2025.
  • Last date for application: 20th October 2025.

Before applying, please go through the intake brochure:

View Program Brochure

  • Instructions:
  • Option 1:
  • Fill in this form (in the program brochure) completely and legibly.
  • Take a clear photo or scan of the filled form.
  • Include a snapshot of payment completion (screenshot or photo).
  • WhatsApp both the filled form and payment proof to: 8877125401.
  • Option 2:
  • Fill the form below, attach the payment screenshot and submit.

Step 1 – Pay Course Fee

Indian Students:

Course Fee:

INR – ₹ 5,900

(₹ 5,000 plus GST 18%)

Payment Details:

Payee: Bijit Mediconcepts in Diabetes
Bank Name: ICICI Bank
Account Number: 085305003037
IFSC Code: ICIC0000853

Or Pay by QR code (Scroll down to see)

International Students:

Course Fee:

USD – $70

(In American Dollars)

Payment Details:

Payee: Bijit Mediconcepts in Diabetes
Bank Name: ICICI Bank
Account Number: 085305003037
IFSC Code: ICIC0000853

Swift Code: ICICINBBCTS

QR code for Indian Students:

Step 2 – Take Screenshot

Take Screenshot of the payment made. Ensure the image is in PNG or JPG or JPEG format. Size should be less than 1MB.

Step 3 – Fill Application Form

Fill the application form and upload the payment screenshot along with other necessary documents. Click submit.

Note:

  1. Post verification Login details will be mailed to you, so enter a valid email address.
  2. To be included in the WhatsApp group, enter a valid WhatsApp phone number.

Application Form:

    Note: Mandatory Fields are indicated with *


    Solve the following and click submit:

    By submitting the above form you accept our Terms and Conditions and Privacy Policy

    Eligibility Criteria

    Passed class 12th.