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School of Business Environment
Online Registration for Certified Professional
Programme Applied For
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IICA Certified Corporate Social Responsibility
Name of the Applicant
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Email ID
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Mobile No
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Communication Address
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Bachelor / Professional Degree:
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Passed in Year
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Admission Type
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Individual
Sponsored
Current Organization
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Current Designation
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GST Number (if sponsored)
PAN Number
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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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