Online Registration Form-Six Sigma Black Belt
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PLACE OF TRAINING *
Please choose the place where you want to do the training?
Name *
Type capital letters initial at the end
Gender *
Date of Birth *
DD/MM/YYYY
Name of father/husband *
Address *
Door No, Street Name, Place
City
Enter in Capital letter text
State *
Enter in Capital letter text
Pincode *
Residence phone No
Mobile No *
E-mail Id *
Qualification *
Experience(in years) *
Nature / Type of - Business / Industry You work for.. *
example  Automobile / IT/ ITES / Pharma / Civil / Manufaturing / Service
Required
Employment status *
Marital status *
Other status
Clear selection
Community *
Course fee
Enter amount of payment in Rs
Mode of Payment
Choose  DD or Cash. Not both
Clear selection
Place of the Bank
Enter DD details if you have selected DD as your Mode of Payment
Name of  Bank
Enter DD details if you have selected DD as your Mode of Payment
Draft No/ Transaction No.
Enter DD details if you have selected DD as your Mode of Payment
Date of Demand Draft / Online Transfer
Enter DD details if you have selected DD as your Mode of Payment
How do you come to know about this course *
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