Cell Culture Workshop Registration Form

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Application Form

1-Week Hands-on Workshop on Human/Cancer Cell Culture Techniques & MTT Assay

Workshop Date Applying For:


Name:
(As it should appear on the certificate)

Gender: Male/Female/Other Are you a student? Yes/No

Job Title if Employed:

Current Institutional Affiliation:

Current Program and Year for Students:

Address for Correspondence:

Phone No:

Email id:
(You must provide valid email as all further communication will be sent through email)

Proof of Payment/Transaction Ref. No.: Date:

Amount: Bank/App Name:

Signature: Date:

Please send this form by email to [email protected] or by post to the ICSCCB, Delhi
address below.

ICSCCB Delhi Address:


ICSCCB, Khasra 132, Plot 4, IGNOU Main Road, Neb Sarai, New Delhi – 110068, India
(Closest Metro Station Saket on Yellow Line)
Web: www.icsccb.org, Email: [email protected], Tel: +91-7798490002

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