Registration Form- Self-Regulation Workshop by Brad Chapin - 23 March 2023
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1. Name  *
2. School/Organization
*
3. Designation
*
4. Email
*
5. Contact Number
*
6. Amount
*
6a. Mode of Payment
*
Group discounts are as follows:
3 to 5 pax– 5% discount   
6 & more pax - 8% discount 
7. Registering as a group? 
*
7a.Number of participants registering as a group?
*
7b. Please indicate the name, e-mail and contact details of the group members (excluding yours). *
7c. Group discount
*
8. Total amount payable  *
*Cancellation Policy -All registrations are final and non-refundable. Cancellation without a replacement will impose a penalty of 90% of the course fee. Please find a replacement in the event you are not able to attend upon registering.
*Please make the payment upon registering for the workshop. Kindly send us the proof of your payment for us to send you the confirmation details.  
For further details, contact us at 91264281 or  62527901
Payments will be processed under our holding company Aksarth Solutions Pte Ltd
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