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Registration Form- Half-Day Executive Development Program (EDP)
Your name
Your email address
Name of organisation
Mobile No.
PAN number
GST number
Designation
Date of birth
Date
Years of work experience
Educational qualifications
Business address
Website
Name of second nominee (if any)
Mobile (second nominee)
Email (second nomiee)
Name of third nominee (if any)
Mobile no. (third nominee)
Email (third nominee)
Payment details
- None -
Cheque/DD
Nominee fees are strictly meant for participants from the same organisation only. For any clarifications about the LDP, please contact Mr. Ranjit Singh Negi on 9527134772.
Cheque/DD/UTR No.
Bank name
Amount
Payment date
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