Program Applied For(Select One) Proficiency Program in Medical & Healthcare InformaticsProfessional Designation in Medical & Scientific WritingIntroductory Program in BioinformaticsProficiency Program in PharmacovigilanceProgram in Pharma Good Manufacturing Practices
All columns are compulsory, No column should be left blank, All in block letters
Candidate’s Name
Father's Name
Date of Birth
Gender MaleFemale
Address
Nationality
Email
Academic Qualifications
Exam Passed / Appearing
Board/University
Year
Result with Percentage
Work Experience (If Applicable)
Full Name of the Organization
Designation
Total Work Exp. (In yrs.)
Phone
How did you come to know about us WebsiteInternet SearchBII MailerFriends / Relative/ Brand AmbassadorAdvertisement / Poster
Photo
Signature
Document
