Infercon Automation Pvt Ltd- Registration

Mode of education

Classroom Instructor Led Training
Vitrtual Instructor Led Training

Candidate Name

First Name

Middle Name

Last Name

Birth Date

Gender

Address

city

state

Postal code

Candidate E-mail

example@example.com

Mobile

Phone Number

+01 55555 55555

Work Number

Company

Additional Comments

Education

Diploma (Engineering)
Under Graduate (Engineering)
Post Graduate (Engineering)
Other

Years Of Experience

< 2 years
3 to 6 years
7-10 years
10-15 years
> 15 years
Other

Government Issued Personal ID

PASSPORT

Please attach your latest passport copy

What was your mode of payment for this course ?

Wire/Bank Transfer
Cash
Other

Fees Amount in your currency?

I hereby acknowledge that I have read and understood the course brochure and I was also explained by INFERCON Sales or Student Counselor of all terms and conditions including student prerequisites, program highlights, program scope, program syllabus, program fees, payment milestones, delivery format, accommodation, timings, etc. of this international Integrated Skill Development Program offered in Chennai, India by INFERCON ACADEMY, the educational division of INFERCON AUTOMATION PVT LTD., India

Yes, I have read, understood and accepted the same.
No

Fill out the form carefully for registration