Registration form for training in: Electronically Controlled 2-stroke Marine Diesel Engines
Registration form for a 3-day training program in Mumbai on 17th, 18th and 19th April 2019.

This form is only for 3 participants. For more than 3 participants, please fill multiple forms accordingly.
We shall review your form and send an invoice with bank details upon confirmation.

Name of the Organization *
Your answer
Number of Participants (For more than 3 participants, please fill multiple forms) *
Details of Participant 1
Name of the Participant *
Your answer
Designation *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Passport/Aadhaar number *
Your answer
Details of Participant 2
Name of the Participant
Your answer
Designation
Your answer
Email address
Your answer
Phone Number
Your answer
Passport/Aadhaar number
Your answer
Details of Participant 3
Name of the Participant
Your answer
Designation
Your answer
Email Address
Your answer
Phone Number
Your answer
Passport/Aadhaar number
Your answer
Details of the Contact Person in the Organization
Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
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