Registration Form

Registration Form For Training At NextGen Life Sciences Pvt Ltd.

Name *

First

Last

Date Of Birth *

Gender *

Male
Female
Transgender

Address *

Email *

Contact Number *

Stream Of Education *

University/Institution *

Course/ Degree *

Name Of The Training Progamme For Enrolment *

One Week Certificate Course in “Basic Molecular Biology Techniques”
Two Week Certificate Course in “Molecular Biology Techniques”
Two Week Certificate Course in “Recombinant DNA Technology”
One Month Certificate Course in “Advanced Molecular Biology Techniques”

Preferred Training Period (Mention the Date For Joining Course) *

Emergency Contact Person *

Emergency Contact Number

Reason For Joining Training Program *

NextGen Life Sciences Pvt. Ltd.
NextGen Life Sciences delivers true to its long-standing name and reputation in the Biotechnology industry when it comes to providing high end and best in class solutions for testing equipment, reagents, kits and instruments.

Address
F 44-45, Pankaj Central Market,
I.P. Extension, Patparganj,
Delhi-110092
email: [email protected]
Ph: +91-011-43097949