Workshop & Training
programme

Application/Registration Form:

(Please submit your form before October 30, 2009 )

Last name:
First Name
Middle Name :
Current Institutional Affiliation

Address :
City:
State/Country
Zip code:
Tel. (with STD code)
Fax :
e-mail :
Home Address :
City:
State/Country:
Zip code:

Tel. (with STD code)
Fax :
e-mail :
Education: (Indicate institution and year)

Undergraduate:
Graduate:
Post-Graduate:
Current status: Student/ Postdoctoral/ Staff/ Faculty/ Other

Separately, please provide your reasons for wanting to take this course. Include your research interest and experience (if any) you have had in molecular biology.

Course Fees: Selected Participants will have to pay Rs. 10,000/-. Cheques/ DD should be in favour of “Director, FRIGE, Ahmedabad”. This includes Tea & Lunch, Conference material and hands on Training. Please Note: No accommodation will be provided by the Institute. However, on request participants will be helped getting accommodation on payment basis only. Only 10 participants will be selected for the workshop and will be notified in due time. Print this page