Registration Form - Zenomix BioLab

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Phone *

Email Address *

Affiliation *

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Street Address

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City *

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ZIP / Postal Code *

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Course Name *Name of the course

DurationDuratin of Training/Dissertation/workshop/program

Registration Fee amount *This amount will be adjusted against the fee

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Consent *

Terms & Conditions
1. The admission to training/internship programs will be confirmed after the payment of registration fee along with documents.
2. The registration fee Rs 500/- deposited is completely non-refundable. This amount will be adjusted in the final fee of the course.
3. Students have to bear their own boarding/lodging/conveyance charges.
4. Company will not be responsible for any medical, legal issues during the internship tenure.

Declaration
1 hereby declare that all statement/information given in the application form are true to the best of my knowledge and belief. I will strictly abide by the terms & conditions, norms, lab etiquette during the training.

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