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Professional Short Course Registration Form: Tel: +91 44 4200040 Email:, Website

This document is a registration form for a free Basic Process Simulation Course in DWSIM taking place online from April 24-2020. It requests the participant's name, contact details, address, and signature acknowledging their agreement to the collection and processing of their personal data in accordance with the organization's privacy notice. It also collects the billing contact details of the participant's company including the name, address, phone number, and emails of the invoice processor and verifier for registration.

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81 views2 pages

Professional Short Course Registration Form: Tel: +91 44 4200040 Email:, Website

This document is a registration form for a free Basic Process Simulation Course in DWSIM taking place online from April 24-2020. It requests the participant's name, contact details, address, and signature acknowledging their agreement to the collection and processing of their personal data in accordance with the organization's privacy notice. It also collects the billing contact details of the participant's company including the name, address, phone number, and emails of the invoice processor and verifier for registration.

Uploaded by

ashir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Tel: +91 44 4200040

Email: info@fermionenergy.com, Website: www.fermionenergy.com

PROFESSIONAL SHORT COURSE REGISTRATION FORM


COURSE TITLE Basic Process Simulation Course in DWSIM
DATE From 24-04-2020
VENUE Online
COURSE FEE FREE
The course fee stated in the brochure is GST
inclusive

PARTICIPANT DETAILS
NAME (in CAPITALS) Contact No and Email Please mark ‘X’ below I have fully read and understood the
Personal Data and Privacy Notice attached
and Designation Address herewith and by signing this, I hereby
acknowledge receipt and agree to the
contents of the same. I confirm that I
consent and agree to the collection,
processing, use, disclosure and retention
by Fermion of my Personal Data [and
where applicable, sensitive Personal
Data], in the manner as set out in the
Personal Data and Privacy Notice.

(Participant Signature)

Professional Alumni Student


CONTACT DETAILS (FOR BILLING PURPOSES)
Company/College
:
Name
Company/College
:
Address
Invoice Processor
:
Name & Department

Tel /Fax No :

Invoice Verifier
:
Email Address

Signature :

Date :

Company Stamp :

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