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Learning Circle 4: Smart Learning – Independent Learners
Application Form
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Email
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Your email
State & Country
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Your answer
PERSONAL INFORMATION
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Dr.
Ms.
Mrs.
Mr.
Name (as on Certificate)
*
Your answer
Address
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Your answer
Contact No.
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Languages Spoken
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Your answer
Languages Written
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Your answer
Current Job Description
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Your answer
Institution & Department
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Your answer
Educational Qualification (Year, University/College, Grade, Percentage)
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Your answer
Fees
For members: 12,000/-
For non-members: 13,000/-
Duration
4 Weeks – 14 August to 13 September 2021
The Following are the NEFT details for bank transfer (Only INR)
MAHARASHTRA DYSLEXIA ASSOCIATION
IDBI BANK
SUNNY ESTATE II
CHEMBUR, MUMBAI 400071
A/C NO.: 018104000075457 - Saving Account
IFSC CODE: IBKL0000018
SWIFT CODE – IBKLINBB004
PLEASE EMAIL THE PAYMENT DETAILS TO -
mda@dyslexiaindia.com
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