Industry Training Registration

T3-A413 NX-One +91 7042544072 info@optimisenow.in

Industry Training Form

Personal Details

Upload Photo * Min 10 KB - Max 400 KB

Full Name *

Father's Name *

Admission Date *

Gender *

Course Name *

Contact Details

Phone Number *

Email Address *

Mode *

Training Branch *

Address *

Student Status *

Student / Pass Out Details

College / University Name *

College City *

College State *

Graduation Degree *

Year of Admission *

Pass Out Year *

ID Proof Details

ID Proof Type *

Upload ID Proof * Min 10 KB - Max 400 KB

Terms & Conditions

The Cheque/DD are to be drawn in favour of APTRON Technologies Pvt. Ltd.
Cheque bounce charges ₹250.
3% extra on Credit Card payments.
Bank transfer allowed.
Fee is non-refundable.
Late fee ₹100 per day.
All disputes subject to resolution by Company.

I Agree to the Terms & Conditions

Declaration

Date

Place

Student Signature

Get In Touch

T3-A413 NX-One, TechZone 4, Gr. Noida West, GTB, U.P, India

info@optimisenow.in

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