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SCHOOL LEADERSHIP PROGRAM
44'th SLP: 15-17 DECEMBER 2017

IECS REGISTRATION ONLINE

Name *
First Name
Last Name *
Designation
School Name *
Contact Information
Scholl Address *
Street Address
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Cell Phone *
Phone

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Email id. *

Participation Fee of Rs 12000/= per participant
The Registration form and cheque may be sent to :-
Prof. B. L. Handoo - IECS 20-A, NILGIRI-1, SECTOR-34, NOIDA-201301(U.P.)

Cheque have to be at par (INTER-CITY) payable to;
INDRA EDUCATIONAL CONSULTANCY SERVICE-NOIDA

Please add in the Form an option for PAYMENT USING NEFT TRANSFER

NEFT Transfer made to INDIRA EDUCATIONAL CONSULTANCY SERVICES, CORPORATION BANK BRANCH: 2079 SECTOR-31 NOIDA-201301, CURRENT ACCOUNT NUMBER:-207900201090195, IFSC CODE: CORP0002079

Date *

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YYYY
Transaction id *
Amount *
Bank *
Signature of the Candidate
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