Monday, November 18, 2013

APPLICATION FORM

 Kindly download this Application Form and mail  the filled in Application as a scanned copy from your Email to youradvocatelawacademy@gmail.com


                                       APPLICATION FORM
        POST-GRADUATE CERTIFICATE IN  CPEACE                                       ARBITRATION  ( PGCCA)
Name :                                                                                                                                                                                                                                                                                  AFFIX   PHOTO
Date of Birth & Age :
Educational Qualification:
Occupation / Profession:
Years of Experience:
Details of Institutional Membership:
Mobile No.:                                                      Other Phone Nos.:
Email Id:                                                            Website/Weblog:
Address for Communication:

Payment Details: 1. Credit Card/ Debit Card via Paypal  , 2. Online Transfer  3. Deposit at the bank a/c  :                
Payment made as ____________________for Rs.__________on__________via______________

Other Details if any:_______________________________________________________________

Declaration:
I, ____________________________,s/o ______________________ aged ____________  hereby declare that I have gone through this Web-Information and am ready to agree to and abide by the Terms and Conditions as laid down for this “ADRS MASTER CLASS” / PGCCIA/ SEMINAR and again declare and state that all information given herein is true to the best of my knowledge and belief and that the photo affixed herein is that of mine with my signature beneath & over it.
Dated this _______________(Date) Day of ________________(month) in the Year of the Lord Jesus Christ 20______( Year) at ________________(Place) in _________________(Country)
                                                                    Signature:

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