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Iclass Student Enrollment Form-24 1

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Diego Cárdenas
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0% found this document useful (0 votes)
24 views1 page

Iclass Student Enrollment Form-24 1

Uploaded by

Diego Cárdenas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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iCLASS STUDENT Training Consultant:

ENROLLMENT FORM Email: Phone:

Student Information
First Name Last Name

Address
Zip /Postal
City State
code
Country E-mail

Company Alt - E-mail

Phone Alt - Phone Age

iClass Information
Select Course Select Add Ons
- NONE
Additional
CEH
CHFI
CND
CPENT
Exam
LMS
Live
WAHS Online
Extension
CyberQ
Practical
CyberQ
Voucher
BTC
Practise
- Labs
Labs
Exam
Exam
Extension
Range
extension
Prepextension
Select Course Select Add Ons
- NONE
Associate
CTIA
CSCU
CSA
CPM
CPENT
CND
CHFI
CEH
CCT
CCSE
CCISO
CASE.Net
CASE.Java
Certified
CodeRed
Dark
Digital
Ethical
EHCS
EDRP
ECSS
ECIH
ECES
ECDE
Malware
ICS/SCADA
Mobile
Network
Python
Risk
Web Management
Application
Web
Forensics
Forensics
Hacking
Security
- Defense
&
Blockchain
Pro
Forensics
CCISO
Memory
Subscription
Essentials
Microdegree
|Essentials
Deep
Essentials
Hacking
Approach
Deep
Deep
forDive
Business
Developers
FinTech
Dive
Dive
&Workshop
&Security
Workshop
Practices
Workshop
Professionals
Leaders
( 5 days)
( 3 Days
( 3 Days
) ) - NONE
Additional
CEH
CHFI
CND
CPENT
Exam
LMS
Live
WAHS Online
Extension
CyberQ
Practical
CyberQ
Voucher
BTC
Practise
- Labs
Labs
Exam
Exam
Extension
Range
extension
Prepextension
Select Course Select Add Ons
- NONE
Associate
CTIA
CSCU
CSA
CPM
CPENT
CND
CHFI
CEH
CCT
CCSE
CCISO
CASE.Net
CASE.Java
Certified
CodeRed
Dark
Digital
Ethical
EHCS
EDRP
ECSS
ECIH
ECES
ECDE
Malware
ICS/SCADA
Mobile
Network
Python
Risk
Web Management
Application
Web
Forensics
Forensics
Hacking
Security
- Defense
&
Blockchain
Pro
Forensics
CCISO
Memory
Subscription
Essentials
Microdegree
|Essentials
Deep
Essentials
Hacking
Approach
Deep
Deep
forDive
Business
Developers
FinTech
Dive
Dive
&Workshop
&Security
Workshop
Practices
Workshop
Professionals
Leaders
( 5 days)
( 3 Days
( 3 Days
) ) - NONE
Additional
CEH
CHFI
CND
CPENT
Exam
LMS
Live
WAHS Online
Extension
CyberQ
Practical
CyberQ
Voucher
BTC
Practise
- Labs
Labs
Exam
Exam
Extension
Range
extension
Prepextension
Select Course Select Add Ons
- NONE
Associate
CTIA
CSCU
CSA
CPM
CPENT
CND
CHFI
CEH
CCT
CCSE
CCISO
CASE.Net
CASE.Java
Certified
CodeRed
Dark
Digital
Ethical
EHCS
EDRP
ECSS
ECIH
ECES
ECDE
Malware
ICS/SCADA
Mobile
Network
Python
Risk
Web Management
Application
Web
Forensics
Forensics
Hacking
Security
- Defense
&
Blockchain
Pro
Forensics
CCISO
Memory
Subscription
Essentials
Microdegree
|Essentials
Deep
Essentials
Hacking
Approach
Deep
Deep
forDive
Business
Developers
FinTech
Dive
Dive
&Workshop
&Security
Workshop
Practices
Workshop
Professionals
Leaders
( 5 days)
( 3 Days
( 3 Days
) ) - NONE
Additional
CEH
CHFI
CND
CPENT
Exam
LMS
Live
WAHS Online
Extension
CyberQ
Practical
CyberQ
Voucher
BTC
Practise
- Labs
Labs
Exam
Exam
Extension
Range
extension
Prepextension
Select Course Select Add Ons
-Web
Associate
CTIA
CSCU
CSA
CPM
CPENT
CND
CHFI
CEH
CCT
CCSE
CCISO
CASE.Net
CASE.Java
Certified
CodeRed
Dark
Digital
Ethical
EHCS
EDRP
ECSS
ECIH
ECES
ECDE
Malware
ICS/SCADA
Mobile
Network
Python
Risk
NONEManagement
Application
Web
Forensics
Forensics
Hacking
Security
- Defense
&
Blockchain
Pro
Forensics
CCISO
Memory
Subscription
Essentials
Microdegree
|Essentials
Deep
Essentials
Hacking
Approach
Deep
Deep
forDive
Business
Developers
FinTech
Dive
Dive
&Workshop
&
Security
Workshop
Practices
Workshop
Professionals
Leaders
( 5 days)
( 3 Days
( 3 Days
) ) - NONE
Additional
CEH
CHFI
CND
CPENT
Exam
LMS
Live
WAHS Online
Extension
CyberQ
Practical
CyberQ
Voucher
BTC
Practise
- Labs
Labs
Exam
Exam
Extension
Range
extension
Prepextension
Preferred Language for CEH Videos English

BUNDLES VAPT Track All access pass Incident Handling Bundle Forensics Bundle Buy 1 Get 1 Club

T O TA L ( U S $ )
PAYMENT TERMS: Payment will be due at time of registration.
What Do We Provide in the Live course? iLearn Course Refund Policy participating and/or joining the class and/ or
Certified Instructor, Official Curriculum, Certification The course term is defined as 12 months from session online.
Exam Voucher, Web Delivery Platform, iLabs. the invoice date. A refund will only be granted if
a client has not activated the course within the Terms and Conditions for the Flexi Pass:
iClass Cancellation Policy 1. Each student shall be told explicitly that the
course term and the refund is requested during
In the instance that a student needs to cancel class shall be allocated only on availability of
the term. Refund requests received after the the seats.
or reschedule a traditional Instructor-led (ILT)
course term will not be granted. Once a course 2. If for any reasons a class gets rescheduled , the
or Live, please contact EC-Council by notifying
your account representative, or by email at:
has been activated, no refund will be issued. candidate shall be allocated the next available
[email protected] Please allow ten (10) business days for refund class subject to the availability of the seat in that
processing. iLearn courses are issued as single class.
iClass No Show Policy user licenses and are not transferable.
Unless EC-COUNCIL is notified within the terms Process for applying for this class:
of cancellation set forth above, CLIENT will Course Materials Refund Policy 1. A willing student shall seek the schedule of the
maintain full responsibility for 100% payment of No refunds will be issued for mobile devices or class from the Ops Manager (iclasssuppot@
the course. physical courseware once seal is broken by client. eccouncil.org)
Online course materials such as e-courseware, 2. Schedule shared
online exam prep programs or iLabs, online labs 3. Student requests to reserve a seat in the class a
Live Course Refund Policy month in advance.
If Client Cancels cannot be refunded once activated. Retail rate
plus shipping will be prorated into percentages 4. Student is informed about the availability and
• Prior to the end of the first day of class, refund
listed above for approved refunds for un-opened is confirmed or denied the seat not later than 2
= 100%
Courseware or mobile devices. weeks to the class start day.
• After start of the class, but prior to completing
5. Student needs e-courseware and iLabs for
30%, refund = 90% You must abide by the rules, regulations and by- attending the class, which he’s already been
• After completing 30%, but prior to completing laws of the place, including U.S export restrictions provided with when he was given the iLearn
60%, refund = 50% and/or any other applicable laws and regulations package. He shall be responsible to ‘bring’ it to
• After completing more than 60%, No Refund in the applicable jurisdiction from where you are the class.

By selecting this option and typing your name below you agree that you understand the terms above
Name & Title

Date

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