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Training Registration Form

This training registration form collects personal details such as name, gender, birth date, education details, contact information, and the module being joined from applicants. It also includes fields for applicant and authorized signatures as well as notes on payment received for registration fees.

Uploaded by

agr512
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
34 views

Training Registration Form

This training registration form collects personal details such as name, gender, birth date, education details, contact information, and the module being joined from applicants. It also includes fields for applicant and authorized signatures as well as notes on payment received for registration fees.

Uploaded by

agr512
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Training Registration Form

Please write in block letters.


NAME:

_________________________________________________________________________________

Name as you would like it on your certificate:


__________________________________________________________________________________

GENDER: MALE (

FEMALE (

BIRTH DATE (DD/MM/YYYY): _____/______/________


DEGREE: _________________________________________________________________________________
INSTITUTON/COLLEGE: ___________________________________________________________________
EMAIL ADDRESS__________________________________________________________________________
PHONE (WITH COUNTRY/ CITY CODE): _____________________________________________________
REFERRED BY: ___________________________________________________________________________
ADDRESS: ________________________________________________________________________________
________________________________________________________________________________
MODULE JOINING:_________________________________________________________________________

Date

Signature

For Office Use Only


Total fees________________

Amt. Received_________________

Amt. Due___________________

Date____________________

Received By__________________

Authorized Signatory__________

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