PGC in Nutrition Appln-Form 2017

NATIONAL INSTITUTE OF NUTRITION
Indian Council of Medical Research

Jamai-Osmania PO, Hyderabad - 500 007, T.S.
POST-GRADUATE CERTIFICATE COURSE IN NUTRITION

(4th January 17th March 2017)
Last Date for submission of Application: 21st November, 2016
The National Institute of Nutrition offers a Post- Graduate Certificate Course in
Nutrition from 4th January to 17th March, 2017. The course includes lectures, group
discussions, demonstrations and field visits.
ESSENTIAL QUALIFICATIONS : A basic degree in Medicine (MBBS/BDS/BAMS/BHMS)
OR a Masters Degree in Biochemistry/Physiology/Foods
& Nutrition/Dietetics.
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.
Preference will be given to candidates with First Class and 1-2 years experience in the
relevant fields.
STIPEND
No stipend will be paid for both in-service and private candidates.
TA/DA
No TA or DA will be paid for both in-service and private candidates.
TUITION FEES
Rs.10,000/- (Lumpsum) has to be paid by the candidate (for Indian Nationals)
(Drawn in favour of The Director, National Institute of Nutrition, payable at Hyderabad
on any Nationalized Bank)
Tuition fee: US $ 1200.00 (Foreign Nationals)

(Drawn in favour of The Director, National Institute of Nutrition, payable at Hyderabad
on any Nationalized Bank)
Accommodation
The participants in the course will be accommodated at the hostel located on the campus
of the National Institute of Nutrition on payment of necessary charges.
Prescribed applications are obtainable from The Head of the
Department, Publications, Extension & Training Division,
National Institute of Nutrition, Jamai-Osmania P.O.,
Hyderabad- 500 007, Telangana State, India. For further details,
visit our website: www.ninindia.org and icmr.nic.in or E-mail at
[email protected] Tel No: 040-27197247, 27018234.
NATIONAL INSTITUTE OF NUTRITION

(Indian Council of Medical Research)
Jamai-Osmania PO, Hyderabad-500 007, T.S.
APPLICATION FOR ADMISSION TO THE

POST-GRADUATE CERTIFICATE COURSE IN NUTRITION
(4th January 17th March 2017)
Please
affix
passport
size
photograph
LAST DATE FOR SUBMISSION OF APPLICATION: 21st NOVEMBER 2016
Category of the Applicant
Sponsored
Private (Non-Sponsored)
Status of application*
Channel)
Advance copy
Official (Through Proper
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.10,000/- towards tuition fee, if selected?
Yes
No
1. Name in full of the candidate

Male
: Dr./Mr./Mrs./Miss
Female
2. Designation*
3. Official Address
4. Address for Correspondence
Phone: *Off.
Mobile.
*For Sponsored Candidates
Email:
:2:
5. Date of Birth: ____________ Age: _____ Yrs Do you belong to SC/ST Category?
Yes
No
If yes, enclose certificate.
6. Do you possess the required minimum educational qualifications viz.,
Yes
No
(i.e. MBBS, BDS, BAMS, BHMS or M. Sc (Biochemistry/Physiology/Foods & Nutrition/Dietetics)

If yes, provide details (Please tick the appropriate box):
MBBS
BDS
Master of Science
BAMS
BHMS
MD
Biochemistry
Physiology
Foods & Nutrition
Dietetics
(Enclose photostat copies of the certificates)
Educational Institutions attended:
Degree/Diploma
Class/
Division
College/
University
Year of Study
From
To
Subject(s)
7. Employment Particulars
Name of Employer
Nature of Employment
From
To
:3:
Research or practical experience, after graduation (Please be precise)
8. List of Publications, if any :
10. 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 Training Course in Nutrition 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, Publications, Extension & Training
Division, National Institute of Nutrition, Jamai-Osmania PO,
Hyderabad-500 007, Telangana, India, before the stipulated
date.

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NATIONAL INSTITUTE OF NUTRITION

Indian Council of Medical Research

POST-GRADUATE CERTIFICATE COURSE IN NUTRITION

Tuition fee: US $ 1200.00 (Foreign Nationals)

NATIONAL INSTITUTE OF NUTRITION

APPLICATION FOR ADMISSION TO THE

LAST DATE FOR SUBMISSION OF APPLICATION: 21st NOVEMBER 2016

Category of the Applicant

Official (Through Proper

Name and address of the sponsoring

If you are a private/non-sponsored

1. Name in full of the candidate

4. Address for Correspondence

If yes, enclose certificate.

6. Do you possess the required minimum educational qualifications viz.,

(i.e. MBBS, BDS, BAMS, BHMS or M. Sc (Biochemistry/Physiology/Foods & Nutrition/Dietetics)

Foods & Nutrition

8. List of Publications, if any :

Signature of the Applicant

The application of Dr./Mr./Mrs./Miss

Note : In case of any delay in getting their applications forwarded

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