ONE - YEAR POST GRADUATE CERTIFICATE
COURSE IN
QUALITY MANAGEMENT
APPLICATION REGISTRATION FORM
*
Course:
Certificate Course in Quality Management
*
Name:
Office:
*
Address:
*
Street:
*
City:
*
Zip/Pin:
*
State:
*
Country:
India
*
Phone:
*
Email:
*
Fax:
Home:
*
Address:
*
Street:
*
City:
*
Zip/Pin:
*
State:
*
Country:
India
*
Phone:
*
Email:
*
Fax:
*
Date of Birth:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
(4-digit Year)
*
Academic Qualification:
i)
*
Degree [B.Sc.(3 Years)/B.E. or Equivalent]:
*
Year of Passing:
*
Subject Taken:
ii)
*
Highest academic degree secured:
*
Year of Passing:
iii)
*
University /Institution from which passed:
If Employed:
i)
Name & Address of organization :
ii)
Designation:
iii)
Nature of Work:
Period of Service:
i)
In present employment:
(Years)
ii)
In Other Employment:
(Years)
Name and designation of the sponsoring authority:
*
Details of Payment:
Draft
Cheque
for Course Fee:
Comment of the Training division
(For Office Use)
_______________________________________________________
After submitting the form please sent the following items by post:
1. Attested recent passport size photograph.
2. Attested copies of mark sheet and certificates of highest degree secured.
3. Demand draft/banker's cheque.
4. If sponsored, certificate from sponsoring authority.
( * ) Fields are mandatory.
Copyright © 2011-2015 I. A. P. Q. R., All rights reserved.
Powered by
eNoki IT Solutions
