Registration for Certified Professional

School of Business Environment

Registration for IICA Certified ESG Professional Impect Leader

Programme Applied For*

Name of the Applicant*

Email ID*

Mobile No*

Communication Address*

Bachelor / Professional Degree:*

Passed in Year*

Experience (More than 5 Year)*

Current Organization*

Current Designation*

GST Number (if sponsored)

PAN Number

PR Code (If Available)

All information provided by the undersigned is true and correct to the best of my knowledge, any false information will lead to disqualification at any point of time.

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