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CoRE Me+ Program - Participants Registration Form
Note:-
1. Course Engagements: English Medium
2. Course Fee Rs. 25,000/-(INR) Inc. of 18% GST
3. Refund Policy:
https://www.coreinc.in/refund-policy
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* Indicates required question
Email
*
Your email
Participant Full Name
*
Your answer
Select Batch
*
Batch 2 - 9th, 10th, 11th December 2022.
Residential Address
*
Your answer
Gender
*
Male
Female
Other:
Phone Number
*
Your answer
Current Qualification (Completed)
*
Choose
12th
UG
PG
Pursuing Additional Studies
Others
Blood Group
*
Choose
A+ve
A-ve
B+ve
B-ve
AB+ve
AB-ve
O+ve
O-ve
Date of Birth (DD / MM / YYYY)
*
Your answer
Apparel (T-Shirt) Size
*
Choose
XS
S
M
L
XL
XXL
XXXL
Emergency Contact Number
*
Your answer
Name & Relationship of Emergency Contact Person
*
Your answer
Tell us why you signed up for the course ?
*
Your answer
Covid Vaccinated (2 Doses of vaccines is made mandatary and certificate shall be produced on arrival for the course by the participant)
*
Yes
No
Would you like to be Informed about Other Programmes via Email or Mobile No.
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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