Registration Form
Certificate Course in ‘Counselling Skills’ from 22nd to 27th May 2017
From 10.00 am to 05.00 pm
Registration date extended to 2nd May 2017
Email address *
Name *
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Mobile No *
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Gender *
Age *
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Educational qualification *
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Occupation *
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Residential Address *
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Office Address *
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Scan QR Code given below to make payment of Rs. 2000/- (Use Paytm to make online payment)
A copy of your responses will be emailed to the address you provided.
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