Reg Form

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Rayat Bahra Institute of Management

Rayat Bahra Education City


Hoshiarpur-Chandigarh Road, Vil.: Bohan, Hoshiarpur (146104)

FACULTY DEVELOPMENT PROGRAMME:

Portfolio Management and On-Line Trading


19-23 Dec, 2011

Date:

REGISTRATION FORM
Name Mr./ Ms./ Dr. ____________________________________________________________
Address for communication_______________________________________________________
______________________________________________________________________________
______________________________________________________________________________
City ____________________________________ PIN _________________________________
Phone (O) _______________________________ (R) __________________________________
Mobile ________________________

E-Mail ID: _________________________________

Name of the Institution / Organisation ______________________________________________


Designation ___________________________________________________________________
Qualification __________________________________________________________________
Area of Specialisation ___________________________________________________________
Experience (In years) Teaching _________________ Industry Experience__________________
No. of training programmes already attended _________________________________________
No. of publications ______________________________________________________________
Requirement of Residence Facility: (Yes/ No) __________________________

____________________

____________________

Signature of Participant with Date

Head of Institute
Registration Details:

E-mail the scanned copy of Registration form on below mentioned e-mail address and bring original form along at the
commencement of FDP.
For any enquiry please contact:
Mrs. Hassina Begum, Coordinator
Email: hassinabegum@ymail.com
Voice at: +919464060171

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