Training Program – Application Form
Email address *
Program Title *
Venue *
Dates of Training Program *
Registration Fees Details *
A) If participants register under CTP, Please mentioned the following details on hard copy of form No. of seats utilized till date =___________ Remaining seats under CTP=___________ B) If payment made by online/bank challan, please send proof of payment.
Under CTP
By Online
By Bank Challan
Row 1
Require Accommodation *
1. Name of Participant *
Your answer
2. Council of Architecture Registration No. *
Your answer
3. Present Designation
Your answer
4. Contact Address *
Your answer
5. Mobile No *
Your answer
6. E-mail Address *
Your answer
7. Highest Academic Qualification *
Your answer
8. Specialisation *
Your answer
9. Experience *
Required
10. COA Institute Code *
Your answer
11. Name of Institution/Organisation *
Your answer
12. Address of Institution *
Your answer
13. Institution Phone No
Your answer
14. E-mail Address of Institution
Your answer
15. QIPs / CEPs / Workshops Attended since academic year 2007-08 : (Subject, Place, Date) *
Your answer
Place *
Your answer
Date *
MM
/
DD
/
YYYY
Signature
Your answer
Kindly send the hard copy of filled form on COA-TRC, Pune address. The form is to be stamped and attested by the head of the Institution / Organization.
Address for sending the hard copy of form with registration details: Council of Architecture Training & Research Centre (COA-TRC) 2nd Floor, A-4 (B), Abhimanshree, Off Pashan Road, (Behind Volkswagon Pune-West Showroom), Pune – 411 008 Telephone: 0 9764 000 352, E-mail : directorcoatrc@gmail.com & ttpcoatrc.pune@gmail.com
A copy of your responses will be emailed to the address you provided.
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