......:::: ISCRI SERVICES ::::......


Application




First name:

Middle name:

Last name:

Father/ Husband:

Door no:

Street Village:

Town:

City:

Pin Code:

D.O.B(dd/mm/yy):

Educational Qualification:

Phone Number:

Mobile Number:

Email:

Father's Occupation:

Passport no:



Course Details

		Post Graduate Diploma in Clinical Research - 1 yr

		PGDCR – Part Time – Weekend Classes PGDCR – Full Time – (6 months classroom training and 6 months onsite with stipend)
		Diploma in Clinical Research - 1 yr

		DCR – Part Time - Weekend Classes DCR – Full Time – (6 months classroom training and 6 months onsite training with stipend)
		Certification Course in Clinical Research – 6 months

		CCCR – Part Time - Weekend Classes. CCCR - Full Time – (6 months classroom training and 6 months onsite training with stipend.



How did you come to know about ISCRI?

		Website

		Posters

		News paper

		Reference:



Why you want to join this course:

Career Ambition: