Registration Form

BIOINFORMATICS TRAIN
ING

REGISTRATION FORM


BioEasy

Sdn Bhd
838501
-
H

Setia Avenue,
33A
-
4 Jalan Setia

Prima S, U13/S, Setia Alam Seksyen U13,
40170, Shah Alam
, Selangor Darul Ehsan, Malaysia

Tel: +603
-
3358 1708 Fax: +603
-
3341 6687




GENERAL INFORMATION

First Name:



Last Name:



Title:


Organization :



Email :


Job title :



Tel :



Mobile :



Invoice
attention
to :





Address (optional)

:




Country:


METHOD OF PAYMENT :

CHEQUE
CASH


DIRECT BANK IN

PAYMENT AMOUNT : _
____________________

PROGRAM :


The LINUX Operating S
ystem for Bioinformatics


Next Generation Sequence Assembly


Genome Annotation


Evolutionary Analysis


Metagenomics Analysis

Number of participants :

Name
& Contact Number
of participants :








FOR OFFICE USE ONLY

Name

:

Date Received :

Date of Training :

Time of Training :

Total Training Cost :


Remarks