JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Certificate Courses
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name (As you would like on your Certificate)
*
Your answer
Contact Number
*
Your answer
Course Interested in
*
Patent Portfolio creation and Management 6 months course
Core Patent Drafting Practices
USPTO Prosecution Course
Gender
*
Choose
Male
Female
Prefer not to say
DOB
*
MM
/
DD
/
YYYY
Occupation
*
Your answer
Company / College
*
Your answer
Address
*
Your answer
Pin code
*
Your answer
Fee Details ( Transaction Number )
Your answer
Highest Educational Qualification
*
Your answer
If you have previously been admitted to any IIPRD Seminar/Workshop/Course, please mention the details for the same
Your answer
Please enclose self-signed photocopies of the following documents:
Proof of Identity
*
Aadhaar card
Pancard
Driving Licence
Passport
Proof of educational qualification
*
Marksheet
Degree
Diploma
Other
Need help? Contact us Tel: +91-(120) 4296878, 4909201, 4516201 Contact Person: Bhumika, +91-8920269831 Fax: +91-(120) 4516201 Email:
bhumika@khuranaandkhurana.com
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Khurana and Khurana, Advocates and IP Attorneys.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
