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Biotech Industrial Training Certificate document sample
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OFFICIAL WORKING PARTNERS
Industrial Training Program
Permanent Observer to the United Nations
In Association with Economic and Social Council
IIMSAM Global Knowledge Centre
1. NAME EDU: office use only
First Name Middle Name Last Name
2. FATHER’S NAME
First Name Middle Name Last Name
Please affix passport size
photograph
www.HashBioTech.com
3. DATE OF BIRTH 4. GENDER 5. NATIONALITY
dd/mm/yyyy M F
6. CLASS OF STUDY & NAME OF COURSE:
7. NAME & ADDRESS OF COLLEGE/INSTITUTE: 8. MAILING/PERMANENT ADDRESS:
CITY STATE CITY STATE
COUNRTY POSTAL CODE COUNRTY POSTAL CODE
TEL TEL
FAX FAX
EMAIL EMAIL
9. EDUCATION ALL QUALIFICATION:
Qualification Board/University Specialisation Percentage Year of Passing
10. DURATION OF THE TRAINING/PROJECT FOR WHICH YOU WISH TO APPLY.
dd/mm/yyyy TO dd/mm/yyyy
11. HAVE YOU UNDERTAKEN BIOTECH TRAINING/PROJECT BEFORE? Yes No
If Yes then write the Name & Address of the Reseach/Training Center:
Hash BioTech Labs Pvt. Ltd
Plot No : 354, Phase 9, Industrial Area, Mohali (Punjab) - 160062, INDIA
T +91 (0) 172 223 3774 F +91 (0) 172 223 3775 E info@HashBioTech.com W www.HashBioTech.com
12. DESIRED PROGRAM
Standard Industrial Training Program Premium Industrial Training Program
Specialised Workshop Dissertation & Project Work
Training for Teachers Training for School Students
13. IN YOUR OPINION, HOW WILL INDUSTRIAL TRAINING BENEFIT YOU?
14. NAME & CONTACT NUMBER OF TRAINING & PLACEMENT OFFICER OF YOUR COLLEGE /UNIVERSITY/INSTITUTE.
NAME PHONE E-MAIL
www.HashBioTech.com
15. MODE OF PAYMENT:
Cash Demand Draft Electronic Funds Transfer
Note:
Registration Fees:
Registration fee has to be paid in advance. This is an adjustable and non-refundable fee.
Demand Draft Should be made in the favor of “Hash Biotech Labs Private Limited” payable at Chandigarh.
Online Fee Transfer:
Account No.: 31016352183
Account Name: Hash Biotech Labs Private Limited
Bank Name: State Bank of India
Bank Address: M.W.Market, Phase-1, Industrial Area, Chandigarh-160002, INDIA
RTGS/IFSC Code: SBIN0001508
For International Participants
Swift Code: SBININBB579
16. HOW DID YOU FIND US?
Internet Friend/Colleague Advertisement Seminar Other
If other, please specify .................................................................................................................................
17. PAYING GUEST FACILITY Required Not Required
18. APPLICANT’S DECLARATION
I declare that the information given in this application is true and complete to the best of my knowledge & belief.
I am aware that if at any stage it is found that the statements made are not true or are incomplete or misleading,
the admission if made will be cancelled and I shall not be entitled to refund of any fee paid. I accept full liability
of my safety, security and medical health problems.
DATE: ..................................................
(Signature of the Applicant)
PLACE: ................................................
TERMS AND CONDITIONS:
1. Admission will only be confirmed after the receipt of non-refundable payment of Rs. 4412/- (including service tax)as registration fee.
2. The registration fee will be adjusted in the total fee. Fee once deposited cannot be refunded.
3. The registration fee can be sent through demand draft favoring “Hash Biotech Labs Pvt. Ltd.” Payable at Chandigarh.
4. Participants need to pay remaining fee at the time of joining.
5. Course fee includes the cost of laboratory facilities, supervision charges, cost of consumables, internet etc.
6. Students have to bear their boarding/lodging/conveyance charges in actual for staying in paying guest facilities available near our works.
7. Participants need to Purchase Safety Kit for Rs. 499/- which includes Lab Coats, Lab Slipper, Surgical Gloves, Mask, Cap etc.
8. Industrial Training Certificate will be issued only after successful completion of the Training
9. In case, anyone violates the “Code of Conduct” the management holds the right to terminate him/her immediately from the course.
10. Minimum 70% of attendance is required for certification.
11. In case of any dispute, the decision of the management shall be final.
12. Research publications will be jointly shared between the participant and Hash BioTech Labs Pvt. Ltd., however its
IPR will be a property of Hash BioTech Labs Pvt. Ltd.
13. No recommendation letter is required for joining training program at Hash BioTech Labs.
14. Please bring with you syllabus of the course you are pursuing at your college/institute/university.
15. Hash BioTech Labs does not accept any liability on any accident or medical complications of any participant
16. Caution money of Rs 1000 (Refundable) may be charged while joining.
Hash BioTech Labs Pvt. Ltd
Plot No : 354, Phase 9, Industrial Area, Mohali (Punjab) - 160062, INDIA
T +91 (0) 172 223 3774 F +91 (0) 172 223 3775 E info@HashBioTech.com W www.HashBioTech.com
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