Personal Details:
Name of the Candidate–
Mother’s Name–
Address-
Academic Details:
College :
City –
Educational Qualifications-
Subjects of interest –
Contact Details:
EmailID
Mobile No
Alternate Mobile –
Your Space:
Previous experience with the selected workshop if any
Got Reference of workshop through –
Future Plan (Industry/Research/Other)–
Course registration details
| | |
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Details of course
|
Time duration
|
| Payment Details:(Select one option, delete the other) |
| Online payment/By Cheque/By Cash |
| 1. Online Payment | 2. By Cheque |
| West Thane | (in name of analytica Softtech ) |
| Name –analytica softtech |
| Account No. 000030756720019 |
| IFSC Code – DEUT0537PUN | 3. By Cash |
| UTR No | (Obtain address and maps on website) |
| Send completed registration form at sales@analyticasofttech.com |
| (Subject: Registration for Workshop) |
| Confirmation on date of batch shall be provided in the receipt of payment. |
| Website - www.analyticasofttech.com |
| Phone no - +91 8369252593 |