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Training Course Application Form

The document is an application form for a short term training course. It requests information such as name, organization, qualifications, accommodation needs, and payment details from applicants. It also provides eligibility requirements, a fee structure, and terms and conditions of the training.

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13 views3 pages

Training Course Application Form

The document is an application form for a short term training course. It requests information such as name, organization, qualifications, accommodation needs, and payment details from applicants. It also provides eligibility requirements, a fee structure, and terms and conditions of the training.

Uploaded by

temesgen abrha
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

APPLICATION FORM FOR SHORT TERM TRAINING COURSE

Asia Region Training Program for MODS, NRA and CRI


Division of Clinical Microbiology, Department of Laboratory Medicine,
All India Institute of Medical Sciences, New Delhi-110029, India
Title: Mr. Ms. Mrs. Dr. Prof.
Name:
Middle Name:
Last Name:
Gender: Male Female
Organization:
Job title:
For eligibility: Please see the terms & conditions.
Contact address:

E-mail:
Phone/ Mobile No:
Nationality:
Qualifications: [Link]. [Link]. PhD MBBS/MD Others
Accomodation: Required Not Required
Mode of Payment (tick one): Bank Draft Online transfer
Fee Structure: Please tick (✔) one.

For Indian Nationals: For Foreign Nationals:


With accommodation- Rs. 25000.00 With accommodation- US $500.00
Without accommodation- Rs. 20000.00 Without accommodation- US $400.00

Kindly fill-in your payment details here: (It is advisable to upload the scanned copies of the payment
document)
Bank Draft: Amount...……………….... Date …………..
Draft Detail……………….........................................................................................................

Online Transfer: Amount………….…......… Date ……….….


Transfer Details………………………………………………………………………………..
How did you find about the training: (Restrict to 100 words)

Describe your duty and job description: (Restrict to 300 words)

How will this training help you? (Restrict to 300 words)

Full Name of Applicant……………………………………….……………………………………………

Date…………………………………………………… Signature………………………………………..
Remarks and Recommendations of the Host Organization/ Government/ Embassy/ FIND/
STOP-TB/ WHO/ any other Organization: (Please state clearly the strong and weak points about
applicant and how this training will be useful for your organization/country)

....…………………………………………………………………………………………………..
……………………………………………………………………………………………………..
....…………………………………………………………………………………………………..

Date.…………… Signature……………………....................................
Place…………… Name of Forwarding Authority…………………...
………………………………………………………
Seal…………………………………………………

 Terms and conditions:


1. Eligibility-
a) The participants applying for the course should possess laboratory experience
preferably in TB laboratory. In case of Graduates 4-5 years, Post Graduates and
MBBS (qualified candidate) 2 years and PhD and MD 0-1 year research experience is
required.
b) Participants are required to attach the experience certificate and reference letter
from their respective institute/organization along with their application forms.

2. The mode of instruction during training will remain as English.


3a. The training fee entitles the trainee to participate in teaching and practical classes on all
days, reading and writing material and course certificate after successful completion of
training.
3b. The trainees will also be served working lunch and evening tea on working days only.

4. How to make payment? (Bank details for Payment)

Bank Draft – Drawn in the Favor of “Scheme Fund, AIIMS” Online


Transfer Account Name: Scheme Fund, AIIMS
Account No. : 10874584214
Bank Name: State Bank of India, Ansari Nagar Branch, New Delhi
SWIFT Code No.: SBININBB545
IFS Code No.: SBIN0001536

5. Where to send the application?


Send completed application with all supporting documents and proof of payment to:
Postal address: Prof. Sarman Singh
Course Director; Asia Regional Training Program (ARTP)
Head, Division of Clinical Microbiology
All India Institute of Medical Sciences
New Delhi -110029, India.
Phone No. (91-11) 26588484

E-mail: sarman_singh@[Link]

Common questions

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The eligibility requirements for applying to the Asia Region Training Program include possessing laboratory experience in a TB laboratory. Graduates need 4-5 years, Post Graduates and MBBS qualified candidates require 2 years, and PhD and MD candidates need 0-1 year of research experience. Applicants must attach an experience certificate and a reference letter from their institute/organization .

The program provides participants with teaching and practical classes, reading and writing materials, and awards a course certificate upon successful completion. Additionally, working lunch and evening tea are provided on working days, ensuring a comprehensive learning experience .

Participants can pay via bank draft or online transfer. For Indian nationals, the fee is Rs. 25,000 with accommodation and Rs. 20,000 without. Foreign nationals pay US $500 with accommodation and US $400 without. Payment details, including bank draft or online transfer specifics, are required for application submission .

The fee structure differentiates between Indian and foreign nationals, suggesting economic considerations like local affordability and international pricing standards. This differentiation aids inclusivity and balances resource allocation for diverse participant groups .

The remarks and recommendations section, filled by authoritative bodies, could provide insights into the applicant's strengths, potential benefits from the training, and how they align with organizational goals, aiding in informed selection decisions .

An applicant might choose accommodation for convenience and to ensure focus on training. Financially, this option costs Indian nationals Rs. 25,000 and foreign nationals US $500, slightly higher than non-accommodation fees, reflecting the added value of housing .

Applicants must provide an experience certificate and a reference letter from their institute/organization, showing that they meet the required laboratory experience criteria and have institutional support. This documentation is essential to validate applicants' qualifications and experience .

Proficiency in English is important because the mode of instruction for the training is in English, necessitating participants to understand and engage effectively in the learning process .

During working days, the training program offers participants practical classes, teaching materials, working lunch, evening tea, and necessary materials for reading and writing, enhancing their learning experience .

The terms and conditions require an experience certificate and reference letters, indicating professionalism through vetting qualifications. Provisions like accommodation, meals, and course certificates reflect a supportive environment for effective learning .

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