SRM - DBT Platform for Advanced Life Science Technologies First Floor, Sir C.V. Raman Block, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu – 603 203. Email ID: srmdbt.ktr@srmist.edu.in
Application Form Advanced Post Graduate Diploma in Life Science Technologies (2022-23)
Name (IN BLOCK LETTERS)
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Date of Birth
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Gender
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Contact Address
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Insert your recent passport size photograph
E-mail ID
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Contact number
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Alternate Contact number
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Academic Qualifications
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Exam
Degree
Year of Completion
Board/ University
Subject
Percentage / CGPA
10th 12th UG PG * Candidates who are in the final year PG can submit marks obtained in the first year. Research Interests
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Experience (if any)
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Signature of the Applicant