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* Name
* Age
* Qualifications
* Gender Male Female
* Organization
* Address (Office)
* Address (Residence)
* Telephone Fax No
* Emails
* Sponsored by Organization   (tick which is applicable) Self
* Name, Address & Phone and email Id of a person to be notified in the sponsoring Organisation
* Copy and paste your CV
* How did you come to know of this programme?
* Have you read the brochure completely and understood the conditions? Yes     No
* Recommendation from Project Director
* Supported by Regional representative  
* Particulars of programme fee paid         One time Payment      First Installment
* DD/Cheque No Dated Bank  
* City Rupees Rs (in figures)
       (D.D. to be drawn in favour of "ISABS-ODCP", payable at "Bangalore" only.)
 
  PLEASE NOTE
  A person who has experienced continuous mental stress or has coronary problems must not be nominated for this programme. It will be implicit that the participant joins the programme with full financial support from sponsoring organisation or self-sponsor assurance.
 

Contact: A.S. Vasudevan, C/o ISABS
104, Bldg 2, Shantipark Apt, 100 Ft Ring Road, Jayanagar 9th Block, Bangalore - 560069
Ph: 09443329811 or 9243474084. Email:

 
 
 
 
   
 
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