Examination Form

INSTITUTE OF CHEMINFORMATICS STUDIES
C-56A/28, Sector-62, Noida-201301, (U.P) INDIA, Tel:- 0120-4320801/02

EXAMINATION FORM

No columns should be left blank (ALL IN BLOCK LETTERS)

1. Participation No.*______________________________________________________
2. Name of the Candidate__________________________________________________
3. E-mail _______________________________________________________________
4. Contact No. ___________________________________________________________
5. Address for Correspondence (ONLY in case of change of address) _______________
_______________________________________________________________________
City____________________State_____________________PIN___________________

*Select Your Program:

PAINT & COATING TECHNOLOGY	CHEMINFORMATICS	PETROCHEMICAL & REFINING
*Select your Moules for Exam. Assignment
1.Introduction to Paint Technology	1.Basic of Cheminformatics	1.Introduction to Petroleum Industry
2.Chemical Database Design & Their Mgmt.	2.Medicinal Chemistry	2.Petroleum and Petrochemicals
3.Paint Production & Manufacturing Technology	3.Modern Combinatorial Chemistry	3.Chemical Information Sources
4.Chemical Information Sources	4.Chemical Database Design & Their Mgmt.	4.Petrochemical Production Systems
5.Formulation Principles & Practice	5.Chemical Information Sources	5.Petroleum Refining Technology & Process
6.Coating Technology & Equipments.	6.Computational Chemistry	6.Computational Chemistry
	7.Data Sequencing, Mining & Visualization
	8.Drug Design & Discovery

6. Exam Fees Payment Details:
Crossed Demand Draft No.___________Dated_____________Drawn on_______________ for Rs.____________(In words____________________________________________________________).

Bank Draft must be drawn in favour of "Institute of Cheminformatics Studies" payable at Noida/Delhi. Candidates are advised to write their name and address on the back of demand draft.

Dated _____________________

Place: _____________________

(SIGNATURE OF THE PARTICIPANT)

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