Page 5 - LOI & PA Certification Program
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Registration Form
Click here for Online Registration form
Program Details
Title LOI & DiscoverSelf People Analytics Certification Program
Date 19 & 23 June 2017
Venue The Gateway Hotel, Residency Road, Srinivas Nagar, Bengaluru, Karnataka
Fee INR 53,000 per participant (Inclusive of service tax). Includes course material, lunch,
refreshments and certificate
Participant Details
Fill in the details of all participants you wish to register. In case of more than one participant, indicate
who would be the contact person for us to communicate.
Name Email Phone Organization
If you have any questions, please contact Prabhat Ramesh on +91 98800 04727. Please mail this form to
prabhat@discoverself.com after making the payment.
NOTE: Avail an early-bird discount of 10% if you are registering before 1 June 2017.
Bank Name Canara Bank
Account Name Nidharshana Technologies Private Limited
Account Number 0403201003211
Branch Basavanagudi Branch, Bangalore
IFSC Code CNRB0000403
