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American Society for Quality, India

Programme Enrollment Form Programme Title Option for training Date


Please return this complete form to: Mr. B.S.Rawat (Manager), American Society for Quality India Pvt. Ltd. 325, 3rd Floor, DLF Tower B, Jasola District Center, New Delhi - 110025

Classroom training in Delhi

Webx online

** Required 1Mbps bandwidth

TO BE FILLED BY THE PARTICIPANT

Title: First Name: Male Female Designation Position of Participant CEO/MD Organisation Office Address: City PIN Phone (Office): Email Description of present responsibilities

Last Name: Date of Birth


Senior Management Middle Management Junior Management

FAX (Residence): Mobile

Designation of executive to whom you report Qualification Degree Subject(s) Year

College/University

Organisation (start with current)

Position

Work Experience Years of Experience

Gross salary

Programme title Institution

Previous ASQ programmes attended Duration Other programme attended Programme title Duration

Year Year

What are your expectation from this programme Cheque/DD No. Date: ____________ Payment Details Dt Amount: Rs. Signature:__________________

*Please note that all payments are to be made in favour of American Society for Quality India Pvt Limited.

Tel: +91 11 46783399, Fax: +91 11 40793573, Email: asqindia@asq.org; Web: www.asq.org

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