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    15-Days Road Safety Auditors Certification Course (Online Mode)

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    akeel abbas
    This document is a registration form for a 15-day online Road Safety Auditors Certification Course from July 31 to August 14, 2021. It requests the participant's name, designation, organization, qualifications, experience, date of birth, mailing address, mobile number, email, payment details, and signature. It provides information on eligibility requirements, payment mode details, coordinators' contact information, and a note for foreign participants regarding online presentation and exam due to travel restrictions.

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    15-Days Road Safety Auditors Certification Course (Online Mode)

    Uploaded by

    akeel abbas
    49 views1 page
    This document is a registration form for a 15-day online Road Safety Auditors Certification Course from July 31 to August 14, 2021. It requests the participant's name, designation, organization, qualifications, experience, date of birth, mailing address, mobile number, email, payment details, and signature. It provides information on eligibility requirements, payment mode details, coordinators' contact information, and a note for foreign participants regarding online presentation and exam due to travel restrictions.

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    This document is a registration form for a 15-day online Road Safety Auditors Certification Course from July 31 to August 14, 2021. It requests the participant's name, designation, organization, qualifications, experience, date of birth, mailing address, mobile number, email, payment details, and signature. It provides information on eligibility requirements, payment mode details, coordinators' contact information, and a note for foreign participants regarding online presentation and exam due to travel restrictions.

    Copyright:

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

    15-Days Road Safety Auditors Certification Course (Online Mode)

    Uploaded by

    akeel abbas
    This document is a registration form for a 15-day online Road Safety Auditors Certification Course from July 31 to August 14, 2021. It requests the participant's name, designation, organization, qualifications, experience, date of birth, mailing address, mobile number, email, payment details, and signature. It provides information on eligibility requirements, payment mode details, coordinators' contact information, and a note for foreign participants regarding online presentation and exam due to travel restrictions.

    Copyright:

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

    REGISTRATION FORM

    15-Days Road Safety Auditors Certification Course (Online Mode)


    (In Association with Ministry of Road Transport & Highways and Indian Roads Congress)
    (31st July - 14th August 2021)
    Name of Participant:……………………………………….………… …………………………….……
    Designation: ………………………………………Organization….………………………………...……
    Qualification…………………………….……..Experience………………………………………..
    (B.Tech Civil with minimum 5 year experience M.Tech in Transportation with 3 year Experience)
    * (Professionals with other Civil Engineering degree and working in road safety fields can also apply. However,
    they will be given MNIT certification for participation only)

    Date of Birth:…………………………………………

    Mailing Address:………………………………………………….……………………………….………
    Mobile No.: ………………………….Email: …………………………..…………………….….....….…
    Payment Details Bank Name:……………………………...............................................................
    GST No. of Organization( if Applicable)………………………………………………………………
    Date:………….…………………..…Total Amount (Rs.): ….……………………………………
    UTR No.: ……………………..…..Online Transaction ID:……………………………………
    Note: For foreign participants the presentation of Audit and exam will be conducted by online mode, as
    no flights are available
    Please send your passport size photo along with qualification and experience certificate to
    [email protected]
    Mode of Payment
    Account Name:REGISTRAR (ICC) MNIT, Jaipur
    Name of Bank:ICICI BANK LTD.
    Branch:MNIT BRANCH
    Account number:676801081625
    IFSC Code:ICIC0006768

    Signature of Participant

    Prof. B.L. Swami Dr. Arun Gaur


    Coordinator Coordinator
    [email protected] [email protected]
    Mobile No: 9829111766 Mobile No: 9549654180

    Malaviya National Institute of Technology Jaipur


    Jaipur (Raj.)302017 India
    www.mnit.ac.in

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