Registration Form

(Please fill the form neatly in capital letters)
Personal Information:

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* 1. Name

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* 2. Gender

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* 3. Designation

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* 4. Department

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* 5. Organisation

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* 6. Address

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* 7. Phone

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* 8. Mobile

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* 9. E-mail id

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* 10. Academic Qualification

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* 11. Professional Qualification

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* 12. Work Experience

Course Fee:

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* 13. Demand Draft (DD) No

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* 14. Dated

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* 15. Drawn on (Name of Bank)

I confirm that the above information furnished by me is true & accurate

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