Institute of
Cheminformatics Studies
DUAL PROGRAM SCHEME FORM

NO COLUMN SHOULD BE LEFT BLANK (ALL IN BLOCK LETTERS)

Dear Sir,


I am applying for /enrolled in .................................. Program of Institute of Cheminformatics Studies.

Through the dual enrollment scheme I am also applying for ........................ program of the Institute.

A crossed Demand Draft No. ........................ dated ................ drawn on ................. for Rs. ........../-

or USD ........... is enclosed with this application.



Candidate Name & Address

..................................................................

..................................................................

..................................................................



Date : _____________ (SIGNATURE OF THE CANDIDATE)
Place : _____________


Note: Send complete application form mentioning the course name on the top of the envelope.

PGD in Cheminformatics Rs. 4950/- USD 450
PGD in Petrochemical & Refining Rs. 4950/- USD 450
PGD in Pharmaceutical Chemistry & Production Rs. 4950/- USD 450
PGD in Paint & Coating Technology Rs. 4950/- USD 450
(Bank draft must be drawn in favour of Institute of Cheminformatics Studies payable at New Delhi / Delhi Candidates are advised to write their name and address at the back of demand draft)

 

* Use Photostate copies if required.

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