CCMB Summer Training Program 2019

Page 1

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Application for the Summer Training Program 2019 Centre for Cellular and Molecular Biology, Hyderabad 500 007 (www.ccmb.res.in)

Name:

Father/Mother Name Date of Birth: _____/______/_____ Day / Month/ Year

Sex:

Female

Male Recent Photo

Primary E-mail Address:

___________________________________________

Contact Address

___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________

Contact No:

___________________________________________

Are you related to anyone in CCMB

_______________________________________

If yes, the Name/designation of CCMB employee

_______________________________________

Your relationship (son/daughter) with him/her

________________________________

th

Academic Record (Starting from 10 onwards) Name of College Degree or University

Year of Year of Marks*/ Admission Passing OGPA

Passing %

Rank/Division if any

10th

*: also show the total marks in brackets(xx); passing %-age should be marks scored out of the total possible (in case of OGPA also - convert it to % using the university formula)


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