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Anchor Institute Cell, SVNIT-Surat
Participants Registration Form
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* Indicates required question
Name of Participant
*
<Your Name> <Father Name> <Last Name>
Your answer
Gender
*
Choose
Male
Female
Qualification
*
Choose
UG
Graduate
Post Graduate
PhD
Diploma
Other
Name of Training
*
Energy Conservation and Management (15 June to 15 July)
Innovation and Entrepreneurship (15 June to 15 July)
Fundamentals of SAP (15 June onwards)
Total Quality Management (15 June onwards)
Training on campus to corporate (15 June onwards)
Fundamentals of NDT and Reliability Lab (15 June onwards)
Required
If Other Then Specify
Your answer
Category
*
Choose
Industry Sponsored
Faculty
Student
Employed
Un-Employed
Designation
If Un-employed & Student then please specify year & Branch eg. BTech III yr Mech
Your answer
Field of Specialization & Year of Experience
Eg. Manager (10Yr Exp)
Your answer
Company/Institute name with address
*
If Un-Employed then personal address
Your answer
Phone Number
Your answer
Mobile Number
*
Your answer
Email ID
*
Your answer
Name of HR / Head
Your answer
Email ID of HR/Head
Your answer
Contact Number HR/Head
Your answer
Have you attended any training programme at Anchor Institute Cell?
Choose
Yes
No
If Yes Then Please specify name of Training Programmes
Your answer
Fee Amount Rs.
*
Your answer
Payment Mode
*
Choose
Cheque
Demand Draft
Cash
Other
Name of Bank
if Cheque or DD
Your answer
Cheque or DD Number
Your answer
Remark (if Any)
Your answer
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