[PDF] post-graduate certificate course in nutrition

137180_7PGC_Nutrition_ApplnForm_2020.pdf

ICMR-NATIONAL INSTITUTE OF NUTRITION

Indian Council of Medical Research

Tarnaka Metro Station, Jamai-Osmania PO

Hyderabad - 500 007, Telangana State, India.

POST-GRADUATE CERTIFICATE COURSE IN NUTRITION

(6th January 16th March 2020) Last Date for submission of Application: 21st November, 2019 The ICMR-National Institute of Nutrition offers a Post- Graduate Certificate Course in Nutrition from 6th January to 16th March, 2020. The course includes lectures, group discussions, demonstrations and field visits.

ESSENTIAL QUALIFICATIONS :

Life Sciences (Biochemistry/ Physiology/Food &

Nutrition/Dietetics/ Biology/Zoology)/ Biomedical

Sciences

OR (ii) A basic degree in Medicine (MBBS/BDS/BAMS/BHMS/BPT/BUMS/Bachelor of Naturopathy/ Pharmacy & Allied Sciences)

AGE LIMIT : Below 50 years

SELECTION OF CANDIDATES : The Director of the Institute will be the final authority in

selecting the candidates and no correspondence will be entertained from the candidates who are not selected.

ACCOMMODATION

Out station participants in the course will be accommodated at the hostel located on the campus of the ICMR-National Institute of Nutrition on payment of necessary charges. Prescribed application forms for the course may be downloaded from www.nin.res.in OR obtainable from The Head of the Department, Extension & Training, ICMR-National Institute of Nutrition, Tarnaka Metro Station, Jamai Osmania P.O.,

Hyderabad- 500 007, Telangana State, India.

For further details, visit our website: www.nin.res.in and icmr.nic.in or E-mail at petninhyd@yahoo.com, extensiontrainingnin@gmail.com,

Tel No: 040-27197247, 27018234.

TUITION FEES

For Indian Nationals: Rs.15,000/- (Lumpsum) to be paid by the candidate

For Foreign Nationals: Tuition fee: US $ 1500.00

(Drawn in favour of ICMR- , payable at

Hyderabad on any Nationalized Bank)

No Stipend

No stipend will be paid for both in-service and private candidates.

No TA/DA

No TA or DA will be paid for both in-service and private candidates.

ICMR-NATIONAL INSTITUTE OF NUTRITION

Indian Council of Medical Research

Beside Tarnaka Metro Rail Station, Jamai-Osmania PO,

Hyderabad-500 007, T.S. Telangana State, India.

APPLICATION FOR ADMISSION TO THE POST-GRADUATE CERTIFICATE COURSE IN NUTRITION (6th January 16th March 2020) LAST DATE FOR SUBMISSION OF APPLICATION: 21st NOVEMBER 2019 Category of the Applicant : Sponsored Private (Non-Sponsored) Status of application* : Advance copy Official (Through Proper Channel)

Name and address of the sponsoring/ :

Relieving authority*

*The certificate given at the end of the application should be endorsed by the forwarding authority *If your organization does not agree to sponsor you, are you prepared to be considered as a private candidate on payment basis? : Yes No

If you are a private/non-sponsored

candidate, are you willing to pay

Rs.15,000/- towards tuition fee, if selected?

: Yes No

1. Name of the candidate (in full) : Dr./Mr./Mrs./Miss

Male Female

2. Designation :

3. Official Address :

4. Address for Correspondence :

Phone: Off. Mobile.

Email:

*For Sponsored Candidates : 2 :

5. Date of Birth: ______________________ Age: ______ Yrs

6. Do you belong to SC/ST Category? Yes No If yes, enclose certificate

7. Do you possess the required minimum educational qualifications viz., Yes No

(i.e. M. Sc (Biochemistry/Physiology/Food & Nutrition/Dietetics/ Biology/Zoology) OR MBBS, BDS, BAMS, BHMS, BPT, BUMS, Bachelor of Naturopathy & Allied Sciences If yes, provide details (Please tick the appropriate box): Master of Science : Life Sciences Biomedical Sciences MD MBBS BDS BAMS BHMS BPT BUMS Bachelor of Naturopathy Allied Sciences Pharmacy Educational qualifications: (Enclose xerox copies of the certificates)

Degree/Diploma Class/

Division

College/

University

Year of Study Subject(s)

From To

8. Employment Particulars

Name of Employer Nature of Employment From To

: 3 :

9. Research or practical experience, after graduation (Please be precise)

10. List of Publications, if any :

11. Purpose of attending the course (State what you propose to do after undergoing the

course) I affirm that the facts stated above are true to the best of my knowledge and belief. Date: Signature of the Applicant : 4:

Endorsement by Forwarding Authority*

The application of Dr./Mr./Mrs./Miss for admission to the P.G Certificate Course in Nutrition (PGCCN) at the National Institute of Nutrition, Hyderabad, is forwarded. The candidate will be relieved, if selected. Signature and

Official Seal

of the Sponsoring/ Relieving Authority Note: In case of any delay in getting their applications forwarded through proper channel, the in-service candidates are advised to send an advance copy of their application directly to the Head of the Department, Extension & Training, ICMR-National Institute of Nutrition, Beside Tarnaka Metro Rail Station, Jamai-Osmania PO, Hyderabad-500 007, Telangana, India, before the stipulated date. *For Sponsored Candidates