Live in a box On behalf of ICR Live Channel we would like to inform you that you have been selected to participate in ICR Live Channel through Live in a box case get ready and submit * RequiredName * Mobile Number * Next 1 / 3 Date of Shooting * Starting time *010203040506070809101112HH000510152025303540455055MMAMPMAM/PM Location of Shooting ( Hospital - Center) * City * Contact Person in the hospital Required Permission for hospital entry *YesNo Case title * Sub-specialty *Left mainOstial LesionBifurcationCTO-AntegradeCTO-RetrogradeMultivessel DiseasePost CABG InterventionCalcified LesionTortious VesselACSISROthers Kindly specify * Next 2 / 3 ยท Rules and Regulations:ICR Live Channel will be in charge of recording and editing the case only and any other arrangements related to the case will be provided by the candidate himself *Accept I accept to conduct the case and it can be presented on ICR Live Channel online portal and could be presented during ICR physical meetings *Accept VerificationPlease enter any two digitsExample: 12This box is for spam protection - please leave it blank 3 / 3