12.07.2015 Views

Certificate in Dispute Management (Distance-Ed Program) - IIAM

Certificate in Dispute Management (Distance-Ed Program) - IIAM

Certificate in Dispute Management (Distance-Ed Program) - IIAM

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Application FormName:Affix your passport sizephotograph hereDate of Birth: Male: Female:Address for correspondence:<strong>Certificate</strong> <strong>in</strong> <strong>Dispute</strong> <strong>Management</strong>DISTANCE-ED PROGRAMTelephones:Mobile:Email:Academic qualifications: (Please mention the highest qualification)Exam<strong>in</strong>ation passed College/School/University Year Divison / Comments(To be filled by work<strong>in</strong>g professionals only)Designation:Name of Organisation:Experience (<strong>in</strong> years):Payment by: Cheque Demand Draft PayPalNo.:Bank:Date:Branch:Signature:♦ No column should be left blank♦ All entries to be made <strong>in</strong> block letters♦ Attach self-attested photocopy of highest qualification♦ Attach a brief Statement of Purpose <strong>in</strong>dicat<strong>in</strong>g your <strong>in</strong>terest <strong>in</strong> <strong>Dispute</strong> <strong>Management</strong>♦ Fees: Rs. 10,000/- (USD 200 / Euro 150) towards tuition fee and Rs. 2000/- (USD 45 / Euro 35) towards handl<strong>in</strong>gcharges outside India.

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