APOLLO RESEARCH AND INNOVATIONS

Title:* Mr. Ms. Mrs.

Gender:* Male Female Other

First Name:*

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Date of Birth:*

Father's/ Husband's Name:*

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Course Selection

Select Course Executive Program in Clinical Research Program (EPCR) - 3 Months Executive Program in Clinical Research Internship (EPCRI) - 3 Months Executive Program in Clinical Research Project (EPCRP) - 3 Months Professional Diploma in Clinical Research (PDCR) - 6 Months Advanced Professional Diploma in Clinical Research (APDCR) - 9 Months Advanced Post Graduate Diploma in Clinical Research (APGDCR) - 12 Months Advanced Post Graduate Diploma in Clinical Research - Regular (APGDCR-R) - 12 Months

Education Details

Graduation

Graduation:* BSc BTech B.Pharm BDS MBBS

Year of Passing:*

Name of Board/ University:*

Mode of teaching:* Regular Long Distance

Overall Percentage:*

Post Graduation

Post Graduation: MSc MTech M.Pharm MDS PharmD MD

Year of Passing:

Name of Board/ University:

Mode of teaching: Regular Long Distance

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Professional Experience

Do you have any Professional experience:* Yes No

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