NATIONAL INSTITUTE OF NUTRITION Indian Council of Medical Research Jamai-Osmania PO, Hyderabad , T.S.

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1 NATIONAL INSTITUTE OF NUTRITION Indian Council of Medical Research Jamai-Osmania PO, Hyderabad , T.S. POST-GRADUATE CERTIFICATE COURSE IN NUTRITION (3 rd January 16 th March 2018) Last Date for submission of Application: 23 rd November, 2017 The National Institute of Nutrition offers a Post- Graduate Certificate Course in Nutrition from 3 rd January to 16 th March, The course includes lectures, group discussions, demonstrations and field visits. ESSENTIAL QUALIFICATIONS : A basic degree in Medicine (MBBS/BDS/BAMS/BHMS) OR a Master s 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 TA/DA No stipend will be paid for both in-service and private candidates. No TA or DA will be paid for both in-service and private candidates. TUITION FEES Rs.15,000/- (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 $ (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 , Telangana State, India. For further details, visit our website: and icmr.nic.in or at petninhyd@yahoo.com Tel No: ,

2 NATIONAL INSTITUTE OF NUTRITION (Indian Council of Medical Research) Jamai-Osmania PO, Hyderabad , T.S. APPLICATION FOR ADMISSION TO THE POST-GRADUATE CERTIFICATE COURSE IN NUTRITION (3 rd January 16 th March 2018) Please affix passport size photograph LAST DATE FOR SUBMISSION OF APPLICATION: 23 rd NOVEMBER 2017 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? If you are a private/non-sponsored candidate, are you willing to pay Rs.15,000/- towards tuition fee, if selected? : Yes No : Yes No 1. Name in full of the candidate : Dr./Mr./Mrs./Miss Male Female 2. Designation* : 3. Official Address : 4. Address for Correspondence : Phone: *Off. Mobile. *For Sponsored Candidates

3 : 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 BAMS BHMS MD Master of Science : 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

4 : 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

5 : 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 , Telangana, India, before the stipulated date.

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