Personal Details:
Name of the Candidate–
Mother’s Name–
Address-
Academic Details:
College :
City –
Educational Qualifications-
Subjects of interest –
Contact Details:
EmailID
Mobile No
Alternate Mobile –
Your Space:
Previous experience with the selected workshop if any
Got Reference of workshop through –
Future Plan (Industry/Research/Other)–
Course registration details
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Details of course
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Time duration
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| Payment Details:(Select one option, delete the other) |
| Online payment/By Cheque/By Cash |
| 1. Online Payment | 2. By Cheque |
| Deutsche Bank, Aundh Branch | (in name of Nirav Biosolutions Pvt ltd ) |
| Name – NIRAV BIOSOLUTIONS PVT LTD |
| Account No. 000030756720019 |
| IFSC Code – DEUT0537PUN | 3. By Cash |
| UTR No | (Obtain address and maps on website) |
| Send completed registration form at inquiry@niravbiosolutions.com(Subject: Registration for Workshop) |
| Confirmation on date of batch shall be provided in the receipt of payment. |
| www.iabrd.com email -inquiry@niravbiosolutions.com |
| +918380036211 |