Application for Courses offered by LASE Academy, LiLi Scientific Electrolysis, at NCR_Delhi, Kochi, & Hyderabad's

Courses are offered at NCR-Delhi, Kochi & Hyderabad. Fees for the courses is location specific. Please check the fees for each Course from the Admission Office. Call 1800 425 8656 (toll free within India), or 91 99 61 61 3806.

Email Address
Course applied for *
Location preferred
Date of proposed joining *
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Do you require accommodation? (We assist you to locate accommodation according to your preference. The charges for the same is to be settled separately with the service provider) *
Type of accommodation preferred
Name of Applicant *
Applicant's email id *
Applicant's Gender *
Applicant's Date of Birth *
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Applicant's Nationality *
Applicant's Father's Name *
Applicant's Passport Number / If no passport answer 'Nil' *
Applicant's Passport Expiry Date
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DD
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YYYY
Applicant's National Id Card Number (In case of India it is adhaar Card) *
Applicant's Educational Qualification (Tick against all applicable answers, do not restrict to one only) *
Required
Applicant's Work Experience (Describe in detail one by one numbering 1, 2, 3......) / If no Work Experience answer 'Nil" *
Applicant's Telephone Numbers (Give all numbers where the Applicant could be accessed) *
Applicant's WhatsApp Number (If no WhatsApp numberr answer 'Nil') *
Applicant's Postal Address where letters could be delivered *
PIN/Post Code Number *
How did the Applicant come to know about LASE Academy (LiLi Academy of Scientific Electrolysis) *
Required
Do you intend to work as electrology specialist *
Would you like to become Franchisee of LiLi Permanent Hair Removal Clinic *
If 'Yes' Which City & Country
Would you like to set up your own Permanent Hair Removal Clinic *
If 'Yes' which City & Country
Would you like to purchase Electro Epilators from us? *
Are you a sponsored Applicant *
If 'Yes' mention Name and Contact details of the sponsoring Company
From which country you have an offer for job? If you do not have an offer, mention 'Nil" *
If you have a job offer in hand, what is the name of the company?
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