25.01.2015 Views

to download Details and eligibility application form - CII Institute of ...

to download Details and eligibility application form - CII Institute of ...

to download Details and eligibility application form - CII Institute of ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

ELIGIBILITY APPLICATION<br />

Complete the following in<strong>form</strong>ation <strong>to</strong> document your <strong>eligibility</strong> <strong>to</strong> take the<br />

<strong>CII</strong> SCM Pro Certification exam.<br />

Name: ______________________________________________________________<br />

Date <strong>of</strong> Birth: ____________________________________________________________________<br />

Address (for Sending Study Materials & Raising Invoice): __________________________<br />

_______________________________________________________________________________<br />

_______________________________________________________________________________<br />

City: State: Pin code:<br />

Telephone:<br />

Mobile:<br />

E- Mail:<br />

Educational Qualification**: ……………………………………………………………………<br />

Employment His<strong>to</strong>ry 1**:<br />

Job Title:<br />

Functional Area: (E.g.: Procurement / PPC/Warehousing / Logistics…)<br />

Company Name:<br />

Dates <strong>of</strong> Employment:<br />

(From – To)

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!