BIOINFORMATICS INSTITUTE OF INDIA
An ISO 9001:2008 Certified Institute
C56A/28, 1
st
Floor,
SECTOR62, NOIDA
201 309 (U.P), INDIA
Tel.:
+91120 4320801 / 802, 9818473366
Website:
www.bii.in
e
mail:
info@bii.in
EXAMINATION FORM
Professional Designation in Medical
and Scientific Writing
Distance Participation
Examination
April
Year
Nov
NO COLUMN SHOULD BE LEFT BLANK (ALL IN BLOCK LETTERS)
1.
Participation No.*:
_______________________________________
__________________
2.
Name of the Participant:
_________________________________________________________
3.
Email:
_________________________________________________________
4.
Contact No.:
_________________________________________________________
5.
Address
(Only incase of change of
Add.)
_______________________________________________________
_______________________________________________________________________________
City:_____________ State
:_______________ Country:
______________ PIN:
6.
Preferred Examination Centre**:
I
. _______________ II. _______________ III. _______________
7.
Papers:
An Introduction to Scientific
/
Writing
Clinical Trials Documents
& Reports
Regulation of Drug Process
Ethics in Medical Writing
Tools for Medical Writing
8.
Exam Fees Payment Details:
Demand Draft / Cheque No._____________ Dated_________
_ Drawn on ____________________
For
INR
___________ (In words _____________________________________________________)
(Bank Draft / Cheque must be drawn in favor of
“Bioinformatics Institute of India”
payable at Noida / Delhi.
Participants are advised to write their Name and Participation No. at the back of demand draft / cheque)
Date:
__________________
Place:
__________________
*As provided by the Institute at the time of registration.
**
List of Examination
Centers:
The final
exams will be held at
the following centers
Subject to the availability of
minimum number of candidates.
Ahmedabad
Chennai
Hyderabad
Mumbai
Pune
Noida
Bangalore
(Signature of the Participant)
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