Biotechnology Research Laboratory

16-Apurva Complex, Pune University Road

Aundh, Pune 411007, Ph +91 9921446321
www.atgbiotech.com, atglabpune@gmail.com

Faculty / Scientists / Student’s details

Paste your
Name……………………………………………………………………………………………………………………………………….……………………. recent colored
ID details (Passport / driving license no.)……………………………..…Nationality………………….……..… photograph
Date of Birth………………………………Male / Female

Imp Note: Clearance from FRO Pune office is mandatory for International scientists / students /
Faculties ***International candidates should contact us in this regard before confirmation of any program

Father’s / Husband’s name……………………………………………………Contact No…………………………………………………………

Permanent address
……………………………………………………………………………………………………………………………………………………………………………
Class & Semester / Year …………………………….(B.Sc./ M.Sc. / B.Tech. / M.Tech / MS / BE / MBA Biotech etc)
Degree / Institution / College / University details with address
……………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………………….

Candidate’s contact details: Email Landline & Mobile

ATG Training / Project details i.e. application for (mention particular program such as ATG 2 for rDNA, atg3 for PCR)

1. Training program ………………………………………………………………………………………………………………………………………………………………….

2. Biotechnology project……………………………………………………………………………………………………………………………………………………………
3. Bioinformatics project……………………………………………………………………………………………………………………………………………………………
4. Biotechnology workshop……………………………………………………………………………………………………………………………………………………….
5. Faculty development program………………………………………………………………………………………………………………………………………………
6. Biotechnology counseling …………………………………………………………………………………………………………………………………………………….
Duration: ……………Days / Months. Dates, from……………………….…. to……………………………..
Candidate’s Signature

Registration Process: This form along with following documents required to send to address given below
Required documents: 1. Candidate’s covering letter, 2. Recommendation letter from Institute (for regular student /
employee), 3. Photocopy of ID proof. 4. Demand draft (Registration fees plus 30% of total course fees, so that we can
arrange for your program and order required materials, consumable etc.) in favor of “DEVENDRA LINGOJWAR”
payable at Pune.

Send following documents to this address

DEVENDRA LINGOJWAR
Director, ATG LAB, 1st Floor, Sourabha apartment, Ganesh Nagar, Pimple Nilakh, Pune 411027

Registration fees structure

Training program for students / Biotechnology workshop / Biotechnology counseling = Rs. 500/
Biotechnology project / Bioinformatics project = Rs. 2500/
Faculty development training program Rs. 1000/
International candidates for Training / project / workshop / Contract research = Rs. 2000/-

IMP.NOTE: How to start Training / project / contract research / any other services at ATG
Once you decide, you want to learn at ATG (training / projects / any other services at ATG) and wants to confirm after
initial talk or email enquiry, with reference to project cost, duration, send registration completely filled reg. form with
DD and necessary documents. After receiving registration form………….
1. For research project and contract research: We will send topic with one page write up including Title, aims and
objective, materials and methods, possible outcome of the thesis, Significance of the proposed research project, some
references so that you can study more before your arrival at ATG LAB.
2. For training / workshop: We will plan your schedule as per your dates.
Once we receive this completely filled form, we will send confirmation by email with details of finalized protocols on
individual basis under training program or as a independent research student under research project.
3. Registration and course fees is non refundable / non transferable.

ATG LAB Registered office

ATG LAB 1st Floor, Sourabha apartment, Ganesh Nagar, Pimple Nilakh Pune 411027 INDIA