INDIAN
INSTITUTE OF PUBLIC HEALTH - GANDHINAGAR
Sardar
Patel Institute Campus, Drive-in Road, Thaltej, Ahmedabad – 380054
Tel.
+91-079-40240444 Fax: +91-079-40240445
Presents
'Two-Day Short Course on SPSS’ 4th -5th
September 2013
APPLICATION FORM
1. Name of
applicant……………………………..…………………………………………………
2. Date of
birth………………………………………………………………………………….
3. Gender: Male / Female
4. Current
position..………………………………………………………………………..
5. Name & location of the
organization..……………………………………………………….
6. Education: Highest
degree..……………………………..Discipline. ……………………….
7. Relevant
experience..………………………………………………..
…………………………………………………………………………………………..
8. Address for
communication...………………………………………..
…………………………………………………………………………………………..
9. Tel. No..………………… Fax No..…………………….
E-mail...……………………….
Whether accommodation required during training
program: Yes / No
If yes, Arrival date……………………………… Date of
departure..……………………………………
Details of Demand Draft / Cheque:
Amount..………..Date.…………DD/Cheque Number/Online
payment ref. no.: …………………………
Drawn in Favour of...…………………………………………….…. Payable
at..…………………………
Your response to following questions will be
helpful for us to understand your background in data analysis:
a. Have you received any training in quantitative
data analysis as part of your education or attended any training? Yes / No
b. Do you conduct data analysis as part of your
work? Yes / No
c. Have you used any statistical software for
quantitative data analysis? Yes / No
d. If yes, what software(s)
(SAS/STATA/EpiInfo/SPSS/Other)?
e. Have you used SPSS or are familiar with the
software? Yes / No
For more details visit: http://phfi.org/images/events/application_form_short_course_spss2013.pdf
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