Form – Registration Online

Registration Form (Training/Project) – Online

Form - Registration/ Enrollment

Instructions for filling out the registration form

This registration form is only ONLINE.
The usual working hours will be Monday - Friday (4-5 hours) every day. The timings will be decided 15 days prior to the start of the batch.
Make the module choice carefully as it will be difficult for us to make changes at the last moment. For the discussion about which module to take consult our counselor on +91. 85 91 87 1105.
It is very important to give us an idea of the date of joining though we are flexible about the date of joining. We understand that it is not in your hands alone.
Regarding your permanent address, please provide in the details.

Fill your online form

Mr./Ms. *

Primary Mobile (having WhatsApp) *

Father's/Mother's name? *

College Name *

What type of training you want to do? *

Offline - In Labs

Online - At Home

Name of the Intern/Trainee *

Email ID *

Stream of Study? *

Father's/Mother's Mobile Number? *

University Name *

Module/ Project to be taken *

What is the type of training or research project you want to undergo? *

Biotech Industrial Training Program - Offline/ Online

Biotech Industrial Research Project - Offline/ Online

Paying Guest Required? *

Date of Joining? (can be changed later) *

Source of information about Orbit Biotech? *

Date of Birth? *

Are you a previous Intern at Orbit Biotech *

PIN Code (where you live)

Your Permanent Address? *

I agree to the following

I have carefully read understood and accept the terms and conditions mentioned above on this form. The information stated above by me is true to the best of my knowledge. I also authorise Zodiac Brand Space Pvt. Ltd. (Orbit Biotech) to contact me through SMS, WhatsApp and Calls.

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