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Online Application Form       

 
ADVANCED POST GRADUATE PROGRAM IN CLINICAL RESEARCH (APGPCR)
 

No column should be left blank. All entries to be made in block letters

 
Name:
Date Of Birth:
Sex m/F:
Address For Correspondence:
Email Address:
Mobile:
Landline Number:
City:
Examination Passed:
University:
Year:
Attach Resume :
                   OR
Copy paste resume:
   
Attach Photo :
   
TELL US HOW YOU HAVE CAME TO KNOW ABOUT CLINI INDIA:
 
 
   
*To be filled by Working Professionals only:
 
Disignation:
   
Name Of The Organization:
   
EXPERIENCE (IN YEARS):
   
   
 
   

DECLARATION BY THE APPLICANT

I here by declare that:

I have read the Information brochure and understood the eligibility conditions for enrolment in Advanced Post Graduate Program in Clinical Research (APGPCR) Program. I fulfill the eligibility criteria and I have provided necessary information in this regard.In the event of any incorrect or misleading information, my candidature shall be liable for cancellation atany time and I shall not be entitled to any claimfor admission/ reimbursement/certification.

I also understand that:
No employment or recruitment is guaranteed by Clini India pursuant to completion of this program.
No representation as regards affiliation of the program from any university or government educational institute is made.
Clini India reserves the right to change the rules and regulations from time to time in its sole and absolute discretion. If any such change is made, the latest amended rule/regulation would be applicable.The enrolment in APGPCR Program is subject to the realization of program fee.   Clini India is not responsible for postal delays or loss of study material during transit.The fee paid by me for the program is non-refundable, non-transferable under any circumstances whatsoever.

   
 
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