Application Form - Developing and sustaining India’s capacity for pre-clinical Drug Discovery
“Train the Educator” course for educators/trainers who provide education, training and continuing professional development in laboratory animal sciences for early career researchers. March 2020 NIPER, Hyderabad
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1. Name of the organization
2. Institution or Company or Industry
3. Name of the Ministry affiliated to Organization:
Please write Category in the below formats. 1. Pharmacy 1.a) Pharmacology 1.b) Non-Pharmacology 2. Clinical 2.a) Allopathy 2.b) Ayurvedic 2.c) Unani, Siddha, Homeopathy 3. Food 3.a) Nutrition 3.b) Dietician 4. Veterinary 4.a) Pharmacology 4.b) Non-Pharmacology 5. Industry 5.a) Pre-Clinical 5.b) Clinical 6. Others 6.a) Zoology 6.b) Post Graduate in Science/Technology 6.c) Academic
5. Name of the Candidate
6. Name of the Father/Husband/Guardian/any Legal Representative
8. Official Address:
Please enter full address with City / Town, State and PIN code
11. Office number
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