ICMR-National Institute for Research in Reproductive and Child Health
Indian Council of Medical Research
Jehangir Merwanji Street, Parel, Mumbai - 400 012



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Training Course on “Medical Genetics in Preconception ,Prenatal and Pediatric Care”

Conducted by

ICMR-National Institute for Research in Reproductive and Child Health,
Indian Council of Medical Research
Jehangir Merwanji Street, Parel, Mumbai - 400 012

Sponsored by

Department of Health Research(DHR)
Ministry of Health & Family Welfare
Government of India

09th June –04th July 2025

APPLICATION FORM

  Name :
  Upload photograph : (less than 2Mb)
  Address for correspondance :
  State/UT :
  Contact no.:  
 
Mobile
 
Residence (with STD code)
  Email ID :
  Date of birth (mm/dd/yyyy) :
  Gender :
  Highest Education Qualification :
 

Upload highest degree document (a scanned copy) in .pdf format(less than 1 MB) :

  Total work experience (In years): Area of work:
  Present job and designation :
  Name of Organization :
  Total period in the present job :
  Topic of Interest:  
 
Laboratory Genetics
 
Clinical Genetics
 
Genetics Counselling
 
Research Methodology
 
Bioinformatics (whole exome data analysis)
 

Reasons for applying for the course and future plans ? (Max. 150 words):
  Do you have extramural research grants:
Title of the project
Funding agency
Year
  Number of Extramural grants received in last 5 years:
 

Forwarded by Head of department/institute:

If yes, upload forwarding letter (a scanned copy) in pdf format(less than 1 MB):

 

Have you attended the DHR sponsored course on Medical Genetics organized by ICMR-NIRRCH previously?

  If yes, which year
      

In case of any problem with submission, kindly contact workshop coordinator at grc[at]nirrch.res.in