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    BTC Candidate Registration Form 2024-1

    Uploaded by

    aswintlr370
    Awesome to nursing students

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    BTC Candidate Registration Form 2024-1

    Uploaded by

    aswintlr370
    16 views2 pages
    Awesome to nursing students

    Original Title

    BTC Candidate Registration Form 2024-1

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    Awesome to nursing students

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    16 views2 pages

    BTC Candidate Registration Form 2024-1

    Uploaded by

    aswintlr370
    Awesome to nursing students

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    BRAININGSAFE TRAINING AND CONSULTING PRIVATE LIMITED

    Candidate Registration Form


    Course Title NEBOSH IGC

    Location Virtual Online

    Start date

    Date of Examination

    APPLICANT DETAILS

    Full Name ASWIN A

    Date of Birth 07/02/2003 Nationality INDIA

    Full Address with MUKALUVILA VEEDU,VADACODU,KURA PO, Mobile No. 6238157103


    KOTTARAKKARA,KOLLAM,691557
    Postal code Alternate Contact Number 9207341398

    Email address (in Capital Letters) ASWINTLR370@GMAIL.COM

    Qualification(s) PLUS TWO Details of any Safety trainings NIL


    attended

    Work Experience NIL Details of any Special learning Needs

    Student Declaration I hereby give my consent to Brainingsafe to use my personal details for course registration purposes, the same can be forwarded
    to the awarding bodies for registration and other course related purposes. I have received the course Handbook, read and I
    understood the terms and conditions.

    Signature of the Candidate Date

    For Office Use only Verified By:

    Date
    Signature:

    Terms and Conditions Bank Account Details

    Candidates must read the below instructions, procedures, terms and conditions Bank Name: HDFC Bank, Mavelikara Branch,
    Kerala, India.
    Candidate Registration form must be filled in correctly and carefully.
    Account Name: Brainingsafe
    Particulars of the candidate will be verified with identification proof specified in the form.
    Current Account Number: 50200087602096
    Registration fees is not refundable once learner is registered with accreditation body.
    IFSC Code: HDFC0001487
    Payment can be done by cash/Cheque/DD/Bank Transfer.

    Training schedules and venue are subject to change due to any unforeseen circumstances which might arise from
    time to time and those changes shall be intimated to our learners by Brainingsafe in advance.

    Form No. BTC/A-04 Approved: 01/03/2023 Rev 1.1 Page: 1 of 1.

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