Nomination Form

SIx Sigma Green Belt Training for IT Enabled Services

Delhi: September 1 - 5, 2008
Bangalore: October 13 - 17, 2008

The following form permits online submission. Please note that submission of this form is only a tentative registration for the seminar. The registration is not confirmed till payment is received.

You can alternatively print this form and fax it to QAI with details (fax no: +91-11-26218974).

Training Location
Nominating Organization:*
Address:
City:*
Phone:*
Fax:
E-mail:*

Single Nomination: Rs. 35,000 + 12.36% Service Tax
Task force of four: Rs. 1,12,000 + 12.36% Service Tax

Avail Early Bird Discount!!
Single Nomination: Rs. 31,500 + 12.36% Service Tax

S.No.	NAME	DESIGNATION	CITY

1.

2.

3.

4.

Total fees to be sent: Rs.*
Bank Draft/Cheque No.
Dated
Drawn on	payable at New Delhi in favour of "QAI (India) Ltd".
Your Name*
Designation