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Learning Circles 5 & 6 Registration Form
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)
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Your answer
Address
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Your answer
Contact No.
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Date of Birth
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MM
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DD
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YYYY
Languages Spoken
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Languages Written
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Your answer
Current Job Description
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Institution & Department
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Educational Qualification (Year, University/College, Grade, Percentage)
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Duration
LC 5: 18 September to 17 October 2021
Eligibility for LC 6 - Successful Completion of LC 5
LC 6: 16 October to 15 November 2021
Fees
For members: LC 5: 12,000/-
LC 6: 12,000/-
LC 5 & 6: 23,500/-
For non-members: LC 5: 13,000/-
LC 6: 13,000/-
LC 5 & 6= 25,500/-
Registering for:
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LC 5: Multisensory Intervention & Making Sounds Meaningful
LC 5 & 6: Multisensory Intervention & Making Sounds Meaningful, Unravelling the Mystery Behind the Way Words are Spelt
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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