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  • FR-05 Enrollment Form Rev.01

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    pitichai_p
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    This document is an enrollment form for a course from [date] to [date]. It collects information about the candidate such as name, address, employer details if applicable, required name on certificate, contact information, educational and experience qualifications, and payment details. Notes at the bottom specify that payment can be made by cheque or demand draft to Insight Quality Services, and that qualification documents and photos should be included along with the form. An eye test will also be conducted on the first day of the course.

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    This document is an enrollment form for a course from [date] to [date]. It collects information about the candidate such as name, address, employer details if applicable, required name on certificate, contact information, educational and experience qualifications, and payment details. Notes at the bottom specify that payment can be made by cheque or demand draft to Insight Quality Services, and that qualification documents and photos should be included along with the form. An eye test will also be conducted on the first day of the course.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    32 views1 page

    FR-05 Enrollment Form Rev.01

    Uploaded by

    pitichai_p
    This document is an enrollment form for a course from [date] to [date]. It collects information about the candidate such as name, address, employer details if applicable, required name on certificate, contact information, educational and experience qualifications, and payment details. Notes at the bottom specify that payment can be made by cheque or demand draft to Insight Quality Services, and that qualification documents and photos should be included along with the form. An eye test will also be conducted on the first day of the course.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Invoice Number :

    Candidate Code ________


    b
    (FORM TO BE FILLED IN CAPITAL LETTERS)

    ENROLLMENT FORM
    Course Name

    : _____________________________ dated from _________to ____________

    Candidates Name : ______________________________________________________________


    (LAST NAME)

    (FIRST NAME)

    (MIDDLE NAME)

    Is your course Company Sponsored or Self Sponsored? __________________________________


    If Company Sponsored, please fill up below information:
    Company Name
    : ______________________________________________________________
    Company Address : ______________________________________________________________
    ______________________________________________________________
    Company E-Mail

    : ______________________________________________________________

    Person to whom invoice should be addressed : _________________________________________


    Personal Address

    : ______________________________________________________________
    ______________________________________________________________

    Personal E-Mail

    : ______________________________________________________________

    Required Name as on Certificate


    1) Self Name :
    Mr/Ms/Mrs/Smt___________________________________________________________________
    2) Company :____________________________________________________________________
    (Off) Tel.___________ Fax No. ___________ (Resi)Tel. ___________(Mobile)_________________
    A. Educational Qualification : _____________________________________________________
    (Attach copy of necessary certificates)
    B. Experience : _________________________________________________________________
    (In the NDT Technique applied for.)
    IQS/FR/05
    (Attach document from employer as per eligibility requirements.)
    C. Payment Details : _____________________________________________________________
    Cheque / Demand Draft No: ______________________dt______________________________
    Signature of Candidate

    Seal & Signature of Employer

    Note :
     The Payment shall be made by Cheque (for Pune)/ DD (for outside Pune) payable to Insight

    Quality Services. Outstation cheques should include Rs.100/- as additional clearing charges.
     Please send Qualification, Experience Certificates and two passport size photographs along

    with Enrollment Form.


     The Eye Test will be conducted on the first day of the course. Only those candidates
    meeting the requirements can appear for certification exam.
    Please use Photo Copy of this form for more nominations.[
    IQS/FR-05(01)

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