Certificate Courses
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Email *
Name (As you would like on your Certificate) *
Contact Number *
Course Interested in *
Gender *
DOB *
MM
/
DD
/
YYYY
Occupation *
Company / College *
Address *
Pin code *
Fee Details ( Transaction Number )
Highest Educational Qualification *
If you have previously been admitted to any IIPRD Seminar/Workshop/Course, please mention the details for the same
Please enclose self-signed photocopies of the following documents:
Proof of Identity *
Proof of educational qualification *
Need help? Contact us Tel: +91-(120) 4296878, 4909201, 4516201 Contact Person: Bhumika, +91-8920269831 Fax: +91-(120) 4516201 Email: bhumika@khuranaandkhurana.com
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