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Registration for Certified Process Safety
Management Professional
Last Date of Registration October 27, 2025
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Participant Category
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Corporates - Company Sponsored
Corporates - Self-sponsored
Academia - Institute Sponsored
Academia - Self-sponsored
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Official Email ID
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Personal Email ID
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Mobile No.
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Country
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Address for sending Invoice / Receipt
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State
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Pincode
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GSTIN
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ORGANISATION
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DESIGNATION & Emp. ID
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CURRENT ROLE
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EDUCATION BACKGROUND – UG/PG/CERTIFICATIONS/DIPLOMA
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YEARS OF EXPERIENCE
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Nature of Experience and Roles Held
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Briefly tell us about your exposure to Process Safety
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What are your expectations from this program?
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How do you intend to use this learning from this program when you go back?
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