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  • RCC Exam Dec2012 EnrollmentForm

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    Nagesh Rao B
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    The document is an enrollment form for an examination from December 10-22, 2012 at the National Institute of Construction Management and Research. It collects the student's name, registration number, address, course, and center. The form also records whether the student attended regional contact classes from December 10-14, fees paid, assignments submitted, and whether the student enrolled in an optional 4-day computer proficiency program from December 19-22 for an additional fee.

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    The document is an enrollment form for an examination from December 10-22, 2012 at the National Institute of Construction Management and Research. It collects the student's name, registration number, address, course, and center. The form also records whether the student attended regional contact classes from December 10-14, fees paid, assignments submitted, and whether the student enrolled in an optional 4-day computer proficiency program from December 19-22 for an additional fee.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    13 views1 page

    RCC Exam Dec2012 EnrollmentForm

    Uploaded by

    Nagesh Rao B
    The document is an enrollment form for an examination from December 10-22, 2012 at the National Institute of Construction Management and Research. It collects the student's name, registration number, address, course, and center. The form also records whether the student attended regional contact classes from December 10-14, fees paid, assignments submitted, and whether the student enrolled in an optional 4-day computer proficiency program from December 19-22 for an additional fee.

    Copyright:

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

    NATIONAL INSTITUTE OF CONSTRUCTION

    MANAGEMENT AND RESEARCH


    SCHOOL OF DISTANCE EDUCATION

    1. Name

    RCC/EXAMINATION ENROLMENT FORM


    Decemeber 10-22, 2012
    : ________________________________________________________

    2. Registration Number

    : ________________________________________________________

    3. Mailing Address

    : ________________________________________________________
    ______________________________________________________
    ______________________________________________________
    ______________________________________________________
    Tel: _____________________ e-mail: _______________________

    4. Course

    : _____________________ Module _________________________

    5. Centre

    Regional Contact Classes: (December 10-14, 2012)


    Sr.
    No.

    Subject

    Date

    Presence
    (Y/N)

    Amount

    D.D. No. & Bank &


    Date
    Branch

    1.
    2.

    Rs. 3,090/-

    3.
    4.

    Examinations: (December 15-18, 2012)


    Sr. No. Course No. Course Title

    Module

    Assignment Submitted

    1.

    Yes

    No

    2.

    Yes

    No

    3.

    Yes

    No

    4.

    Yes

    No

    5.

    Yes

    No

    6.

    Yes

    No

    Computer Proficiency Programme: ((December 19-22, 2012))


    Yes
    No
    I wish to enrol for the Computer Proficiency Programme of four days and paying the fee of Rs. 11,236/(Rs. Eleven Thousand Two Hundred and Thirty Six only).
    D.D. No.
    Date
    Bank & Branch
    Signature: ___________________
    Date:________________________

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