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Indian Statistical Institute, SQC & OR Unit, Bangalore
Problem Solving using Design of Experiments (DoE-02) 2222 2244 JJuullyy 22001155
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Organization (Optional) :
Contact Person :
Mailing Address :
E-mail : Phone:
Fax : Mobile: Details of the participants attending the program:
Participant Name e-mail & Mobile Total Amount
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A. Sub Total of above B. ADD: Service tax @ 14% (14% of (A) ): C. Total Amount Payable (A+ B) :
Payment Details: Amount :Rs. DD/Transaction No.: Date:___/___/2014, Bank/Branch:
1. Registration forms will not be accepted without course fee. 2. No request for refund of the course fee (fully or partially) will be
entertained after commencement of the program.
Signature : Name: Date: :___/___/2014 _____________________ ________________________________ _____ _ Send completed form with fees and attachments to :
Program Director: DoE-02
SQC & OR Unit Indian Statistical Institute
8th Mile, Mysore Road Bangalore 560 059, INDIA.
E-mail: [email protected], [email protected]
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10135693Typewritten TextKaushik Viswanathan [email protected] 8197780030
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10135693Typewritten TextKaushik.V
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Terms and Conditions
1. The course duration: 3 days : 22 24 July 2015 2. 100% attendance is mandatory 3. Course fee per person: Rs. 3,500/- + Service Tax of 14% (Rs. 3990/-) 4. Online fund transfer details
a. Name : Indian Statistical Institute b. Bank : UCO Bank, Kengeri Branch, Mysore Road, Bangalore c. Account No. : 02970200000702 d. IFSC code : UCBA0000297 e. Type of Account: Current Account
5. Income Tax Permanent A/c No. : AAAAI 0345 R Service Tax Registration No. : S&T/B-III/Kengeri Dn./2/ISI/2001S.T. Category : Scientific & Technical Consultancy Services Service Tax RC Code : STC/AAAA I 0345RST003
6. No refund of course fee will be entertained after commencement of the program. 7. Participation is confirmed after receipt of
a. Filled in application form b. Course fee in full (Cash, DD or online transfer)
8. ISI will provide a receipt for the payment received after the start of the course. The same to be used as a proof of payment. ISI accounting system does not entertain any other form of documentation.
9. The participant with 100% will only be issued a program participation certificate at the end of the program.
10. Any participant applied for the program is understood to have gone through and accepted these terms and conditions.