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)

Programme Applied For*

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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