Nomination Form


  • Venue :
  • Timing:
  • Forbes Marshall, B-85, Phase – II, Chakan Industrial Area, Sawardari, Chakan- 410501 (Maharashtra) (India)
  • 9.30 am to 4.30 pm

We are interested in nominating our Working Professional(s), Engineer(s) and/or Manager(s) for the above program(s):

Codel (Stack monitors) & Analysers for Working Professionals/Engineers/Managers

Program Schedule:

Sr.No Module Schedule
1. Codel (Stack Monitors) 22nd & 23rd - August-2016
2. Liquid Analysers 24th & 25th - August-2016


  • Name of participant

  • Module
  • Designation

  • Email Address

  • Mobile No.

Name of Nominating Officer :
Designation :
Organization :
Address :
City :
Pin code :
Tel No. :
Fax No. :
Email id (Office) :
 

  • Please send the fee via a Demand Draft / Cheque in favour of “Forbes Marshall Pvt Ltd” payable at Pune.
  • Fee is Rs.10,000/module per participant plus service tax, SBC, KKC applicable; includes Course material, Lunch, Coffee/Tea/Snacks during program.
  • Fee is non-refundable; however, change in the participant(s) is acceptable.