Serial No.

______________ (official Use Only)

Advanced Course in Bioinformatics

(Jointly organized by IICT, CDAC & JNTU)

Application form for the Batch 2009- 10

1. Name: ____________________________________________________
First Name Middle Name Last Name
25 x 30 mm (Stamp
2. E-mail:____________________________________________________ size photograph)
with applicants
3. Address for Correspondence: _______________________________________ signature affixed
across the photo
_________________________________________________________________

City____________________________ State: __________________________

Pin:_____________ Telephone No. (Res.)_______________________ (Mobile): _____________

4. Application (Quota): Under General / Sponsored category

(*If sponsored attach the sponsored letter from the employer)
5. Sex: Male/Female 6. Marital Status: Married/Unmarried

7. Date of Birth: _________________________ 8. Nationality: _______________________

9. Academic and professional qualification (Std. X onwards)

* please see the advertisement for minimum requirement of qualifications

Year of Class &

Exam Subject
College/ Inst. Univ./Board Passing Mark

10th

Intermediate

Graduation

Post graduation

others

10. Details of DD drawn (In favour of Director, IICT, Hyderabad of Rs. 250/-
DD No. _______________________ Bank ______________________ Date_______________________.

Signature of the applicant: ____________________

Date:____________________
Note: Filled in application should be sent by hand or by post to Dr. USN Murty, Course Coordinator,
Head, Biology Division, Indian Institute of Chemical Technology, Tarnaka, Hyderabad, A.P.
500 607 on or before 25thMay, 2009.
Roll No. ACB 09 __________________
(Office use only)
 Serial No. ______________ (official Use Only)

Advanced Course in Bioinformatics

(Jointly organized by IICT, CDAC & JNTU)
ACB- 2009-10
ADMIT CARD
(To be filled by candidate)

Roll No. ACB 09 _______________________

25 x 30 mm (Stamp
(To be filled by Office) size photograph) with
applicants signature
affixed across the
Applicant’s Name: ______________________________________ photo

Applicant’s Signature:_____________________________________

Date of Examination: 14th June 2009 (Sunday)

Time: 10.30 AM to 12.30 PM

Venue of examination: IICT ZM High School, IICT Campus, Uppal Road, Habsiguda,
Hyderabad, 500 607 Andhra Pradesh.

Dr. USN Murty, Course Coordinator,

(Office Use Only)