National Seminar

on

Biomedical Informatics

(Sponsored by Department of Biotechnology)

   September 23 - 24, 2005

 

  REGISTRATION FORM

 

Name: (Prof./Dr./Mr./Mrs.)________________________

_________________________________________  

Age ________________                      Sex________________

Qualification__________________________________________

Designation __________________________________________

Mailing Address (with PIN) ______________________________

______________________________________________________

_____________________________________________________ 

Telephone No. (Office) ____________ Residence) ____________

Mobile _________________________Fax___________________

E-mail _______________________________________________

Enclosed is my brief resume

 

Candid\ate’s Signature

Completed registration form may be sent to

Dr. Satish Kumar

Professor, Biochemistry &

Officer-in-Charge, Bioinformatics Centre

JB Tropical Disease Research Centre

Mahatma Gandhi Institute of Medical Sciences 

SevagramWardha) - 442102

                                                                

 

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