FULL NAME: ………………………………………............……………………...……….

ORGANIZATION: …….............................................................................................………

NATIONALITY:
……………………..........................................................…………...........

PASSPORT NUMBER: …………….....................…………………………….……………

CONTACT ADDRESS: ………………........……………….……………………................

TELEPHONE:  ………………………............................……………………….………......

MOBILE: ……………………………….........................…………….……………..............

EMAIL : ………………………….............………………………...........................……….

(Kindly mention your area of interests so that we can include thos topics in our training program for better interaction)

AREA OF INTERESTS: ……………………...........................................................……….

Kindly send this form attached with a passport size photograph at :

CASS-India,
Stratcore Group 

E-Mail:[email protected]