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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
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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