NATIONAL INSTITUTE OF CONSTRUCTION MANAGEMENT AND RESEARCH

SCHOOL OF DISTANCE EDUCATION

RCC / EXAMINATION / CPM ENROLMENT FORM
FEBRUARY 28 - MARCH 11, 2017
1. Name : ___________________________________________________________
2. Registration Number : ___________________________________________________________
3. Mailing Address : ___________________________________________________________
___________________________________________________________
___________________________________________________________
Tel: __________________ Email: ______________________________
4. Programme : ______________________ Module: _____________________________
5. Centre : ___________________________________________________________
Regional Contact Classes: (March 04 - 07, 2017)
Sr. Presence
Subject
No. Y/N
1.
2.
3.
4.

Examinations: (March 08 - 11, 2016)

Sr. Course Assignment
Course Title Module
No. No. Submitted
1. Yes No

2. Yes No

3. Yes No

4. Yes No

5. Yes No

6. Yes No

Bank & Branch: _________________________________________________________________________

Amount Rs. 4,198/- D. D. No.: ______________________ Date: _______________________________
________________________________________________________________________________________
__________________________________________________
Computerised Project Management : (February 28 March 03, 2017) Yes No

I wish to enroll for the Computerised Project Management Programme (at PUNE only) for four days
by paying the fee of Rs. 17,250/- (Rupees. Seventeen Thousand Two Hundred and Fifty only)
Bank & Branch: ________________________________________________________________________
Amount Rs. 17,250/- D. D. No.: _______________________ Date: ____________________________
Date: __________________ Signature: __________________
 NATIONAL INSTITUTE OF CONSTRUCTION MANAGEMENT AND RESEARCH
SCHOOL OF DISTANCE EDUCATION
RCC / EXAMINATION / CPM ENROLMENT FORM
FEBRUARY 28 - MARCH 11, 2017
1. Name : ___________________________________________________________
2. Registration Number : ___________________________________________________________
3. Mailing Address : ___________________________________________________________
___________________________________________________________
___________________________________________________________
Tel: __________________ Email: ______________________________
4. Programme : ______________________ Module: _____________________________
5. Centre : _______________________PUNE_______________________________
Regional Contact Classes: (March 04 - 07, 2017)
Sr. Presence
Subject
No. Y/N
1.
2.
3.
4.

Examinations: (March 08 - 11, 2016)

Sr. Course Assignment
Course Title Module
No. No. Submitted
1. Yes No

2. Yes No

3. Yes No

4. Yes No

5. Yes No

6. Yes No

Bank & Branch: _________________________________________________________________________

Amount Rs. 4,198/- D. D. No.: ______________________ Date: _______________________________
________________________________________________________________________________________
__________________________________________________
Computerised Project Management : (February 28 March 03, 2017) Yes No

I wish to enroll for the Computerised Project Management Programme (at PUNE only) for four days
by paying the fee of Rs. 17,250/- (Rupees. Seventeen Thousand Two Hundred and Fifty only)
Bank & Branch: ________________________________________________________________________
Amount Rs. 17,250/- D. D. No.: _______________________ Date: ____________________________
Date: __________________ Signature: __________________
 NATIONAL INSTITUTE OF CONSTRUCTION MANAGEMENT AND RESEARCH
SCHOOL OF DISTANCE EDUCATION
RCC / EXAMINATION ENROLMENT FORM
MARCH 04 07, 2017
1. Name : ___________________________________________________________
2. Registration Number : ___________________________________________________________
3. Mailing Address : ___________________________________________________________
___________________________________________________________
___________________________________________________________
Tel: __________________ Email: ______________________________
4. Programme : ______________________ Module: _____________________________
5. Centre : __________________________DELHI____________________________
Regional Contact Classes: (March 04 - 07, 2017)
Sr. Presence
Subject
No. Y/N
1.
2.
3.
4.
5.

Examinations: (March 08 - 11, 2016)

Sr. Course Assignment
Course Title Module
No. No. Submitted
1. Yes No

2. Yes No

3. Yes No

4. Yes No

5. Yes No

6. Yes No

Bank & Branch: _________________________________________________________________________

Amount Rs. 4,198/- D. D. No.: ______________________ Date: _______________________________

Date: __________________ Signature: _____________________