Download Registration Form

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Transcript
AQUA Foundation Academy
(an entity of Aqua Foundation, registered under Societies Act 1956)
Ground Penetrating Radar
(Data Acquisition, Processing, Interpretation & Advanced Processing)
September 12- 13, New Delhi, India
Name: ........................................................................................ Gender: ...... D.O.B: ................
Organization: ............................................................................. Designation: ...........................
Educational Qualification: .........................................................................................................
Address: ......................................................................................................................................
City: ................................ State: .................................. Pin Code: ..............................................
Ph (0) : ............................... Ph ( R) : .................................. Mobile: ...........................................
Email 1: ..................................................................... Email 2: ...................................................
Mode of Payment: DD No. ........................Bank: ......................................................................
Online:
Name of the Bank: ICICI Bank Ltd
Address of the Bank: ICICI Bank, 9 A, Phelps Building, Connaught Place, New Delhi- 110001
Name of the Account holder: AQUA FOUNDATION
A/C no : 000701260885
IFSC Code: ICIC0000007
Swift code: ICICI NBB CTS
India Delegate- Amount: INR 10,000
International Delegate- USD : 250
What is your expectation from this training?.............................................................................
....................................................................................................................................................
....................................................................................................................................................
C-24, Soami Nagar (North), Panchsheel Enclave, New Delhi 110017;
Ph: 91-9818568825, 91- 9810033441; Email: [email protected]
Similar