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Registration Form

The document is a registration form for a course, requiring personal information, contact details, and financial support options. It includes instructions for submission and outlines responsibilities regarding health insurance and payment. Contact information for queries is also provided, along with details about the sponsoring organization SUPARCO.

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devendar pila
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33 views1 page

Registration Form

The document is a registration form for a course, requiring personal information, contact details, and financial support options. It includes instructions for submission and outlines responsibilities regarding health insurance and payment. Contact information for queries is also provided, along with details about the sponsoring organization SUPARCO.

Uploaded by

devendar pila
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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REGISTRATION FORM

Course Title: ____________________________________________________________________________________________________________

PERSONAL INFORMATION:
Title: Prof. Dr. Ms. Mr.
Full Name: _________________________________________________________
Designation: Date of Birth: ________________________________________
Max. Qualification:
Field of Work: _________ ____________________ ___________
Affiliation: ___________
CNIC No (for local participants):
Passport No (for foreign participants):
Date, Place of issue & Validity:

CONTACT DETAILS:
Postal address:

City: Postal code: _ Country:


Phone (off): Res: __ Mobile:
Fax: Email: ______________________ ____________
FINANCIAL SUPPORT (Tick only one box):
(a) Organization/Institution Sponsored: (b) Self Sponsored:
References (in case of self-sponsored):
(1) Name:
Sponsored By: ______________________________________________________
Position:
Affiliation:
To be filled by HR or Accounts Department: Phone:
Name: ______________________________________________________________ Fax/E-mail:
Address: ___________________________________________________________ (2) Name:
Phone: ___________________________________________________________ Position:
Fax: ________________________________________________________________ Affiliation:
E-mail: _____________________________________________________________ Phone:
Fax/E-mail:

(Signature of Applicant)
IMPORTANT INSTRUCTIONS:
(i) Fill-in the Registration Form, duly signed by the sponsoring organization or provide TWO references (in case of self sponsored) and mail
at the given address.
(ii) Note that SUPARCO being a Government entity has been exempted from deduction of INCOME TAX on its payment receipts.
(iii) Foreign participants may deposit the course fee on arrival.
(iv) Health Insurance and other related matters will be the sole responsibility of the Trainee(s)/Sponsoring organization.
(V) The Bank Draft/Pay Order on account of course fee may be sent in favor of SUPARCO.

POSTAL ADDRESS: FOR QUERIES:


Director (Training, R&D Dte) Phone: (+92-21) 99241765~74
National Centre for Remote Sensing and Geo-Informatics (NCRG) Ext: 2293/2224 / 2228
Suparco Rear Headquarters Fax: (+92-21) 34644928, 34690783
SUPARCO Road, Karachi-75270 E-mail: dh.trd@suparco.gov.pk
URL : www.suparco.gov.pk

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