5S Certification Programme Nomination Form

At : BENGALURU On : Jun 15 & 16, 2012 From : 0930 to 1730 Fees : Rs. 9000/- + 12.36 % Srvc Tax Venue : Instiute of Hotel management, SJP Campus, Near Vidhan Soudha ,

We are pleased to nominate the following persons from our organisation to attend the 2 day 5S Certification Programme, referred to above : Sl No

Participant Name

Designation

E-mail ID

Tel No

1. 2. 3. 4. 5. We enclose the fees payable (Rs. 10,112/- per person for upto 2 nominations and Rs. 9,101/- per person for 3 or more participants from the same organisation.) Cheque / DD should be in the name of pratik management productivity systems pvt ltd.
Cheque / DD No & Date Amount (Rs.) Name of Nominating Official Designation of Official Name of Organisation Drawn on (Bank Name)

The 5S Institute

Signature of Official with Company Stamp :

___________________________

Send to : The 5S Institute c/o pratik management productivity systems pvt ltd b-14, bombay market apt, m. m. malaviya road, tardeo mumbai 400034 tel : 91 - 022 - 23523552 tel / fax : 91 - 022 - 23523554 e-mail : 5S@the-5s-institute.com, the.5s.institute@gmail.com

Note : Cheque / DD should be in the name of pratik management productivity systems pvt ltd.

The 5S Institute