Bioinformatics Institute of India C-56A/28, Sector-62, Noida-201301, UP(NOIDA), Tele:-0120 - 4320801/02, Mob : 09818473366 ,09810535368, e-mail: info@bioinformaticscentre.org
Admission cum Registration Form
Dual Program in Bioinformatics
Advanced Program in Bioinformatics
(6 Months BII Classroom Program)
PG Diploma in Bioinformatics/Cheminformatics
(12 Months Weekend, Jamia Hamdard University Program)
Paste your self attested photograph
All columns are compulsory, No column should be left blank, All in block letters
1.
Candidate’s Name
____________
____________
____________
(First)
(Middle)
(Last)
2.
* Father's / Husband’s Name
_______________________________
3.
Date of
Birth
(DD
MM
YYYY)
4.
Sex
Male
Female
5.
Address
for Correspondence _______________________________
_______________________________________________ State _____________________ PIN ________________
Crossed Demand Draft No. __________ dated _______
Drawn on ____________________ for Rs. __________
(Bank draft must be drawn in favour of Bioinformatics Institute of India payable at New Delhi/ Delhi. Candidates are advised to write their name and address at the back of demand draft)
11.
Documents to be attached with application form:
i) Fee draft
ii) Certificates of the qualifying examination
iii) One passport size photograph
*Mandatory to fill
BII:-:-:- Bioinformatics Institute Of In
**Declaration by the Participant
I declare that I have carefully read and understood the details of the above program and that i have given the true and correct information while filling up the form. It may be open for the Institute ot take action in case any of the information given by me is found incorrect.
