Registration Form
To,Amit Kaushal
Assistant Manager (Academy & Life Care)
TÜV Rheinland (India) Pvt. Ltd.
Plot # 328, Phase 4, Udyog Vihar,
Gurgaon - 122015, Haryana, India. / M: + 91 98119 83831
T : + 91 124 4422130 (B)/ 154 (D)
F : + 91 124 4422151
www.tuv.com/in
Certification Course on Six Sigma - Green Belt
Module1: 19, 20 & 21 Dec’16 Module 2: Jan’17 (2 Days)
(I) Our organization will be represented by:
Sl. No / Name / Designation / Mobile No. & E-mail ID(II) Participation Fee: Rs…………………/- per participant + Service tax as applicable.
· Early Bird Discount: 10% discount on delegate fee if registered with payment on / before 02nd December 2016
· Group Discount: 10% discount on 3 or more people from single organization
(III) Please tick [ P ] whichever applicable
¨ The delegate(s) fee of Rs...... vide cheque at par / DD No / online payment transaction ...... drawn in favor of TÜV Rheinland (India) Pvt. Ltd” payable at Bangalore is enclosed.
¨ Declaration
· I / We understand the registration policy of TÜV Rheinland (India) Pvt. Ltd. that cancellations are not accepted, however substitutions are permitted
· I / We hereby undertake that payment towards the participation fee from our side will be sent to TÜV Rheinland (India) Pvt. Ltd. latest by …………. upon the receipt of proforma invoice / original invoice / completing the vendor registration process. This is applicable even if any cancellation from our side due to any reasons
· I have read and agree the general terms and conditions towards the registration
Nominating Authority:
Designation:
Company:
Address:
Tel: Fax: Email:
Signature:
*Signature is not essential while sending Registration Form by return e-mail to TÜV Rheinland (India) Pvt. Ltd.
General Terms and Conditions of TÜV Rheinland (India) Pvt. Ltd. on registration:
The above registration form constitutes a firm commitment to TÜV Rheinland (India) Pvt. Ltd. Cancellations of registrations / nomination(s) are not accepted. However, change of nomination(s) / substitutions at last minute is accepted. Registrations are confirmed upon receipt of payment /declaration on payment. Pre-registration and prepayment is essential for participation. Fee includes cost of certificate, course material, lunch & coffee / tea etc. Registration will be accepted on “First Come First Served” basis. This is a non-residential program. Delegate fee is non-refundable. Exact venue will be intimated by TÜV Rheinland (India) Pvt. Ltd. on receiving the confirmation from the participants.