EmailMe Form - EDP - ENROLLMENT FORM

Certification Number

Name *

First Last

Email *

Permanent Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

Course Name *

Pass Number

Please enter the pass number provide to you. This is an optional field.

Work Experience:

Please enter the name of the present organization and designation. In the experience field enter the total experience in years.

Organization Name *

Designation *

Experience in years *

Attach your Photo and Address Proof:

Please upload your photograph and one government issued address proof (such as driving license or passport etc.)

File Upload *

Terms & Conditions:

1.Fees once paid is not refundable.
2.Fhyzics reserves the right to change the class location, faculty and program date & time with 2 days prior notice. Such notification may be through email/phone/SMS
3.The fee paid includes:
-One full day of classroom training from 9 AM to 5 PM
-A program completion certificate will be issued
-Material Kit will be issued
4.Any Damages caused to the systems and property of Fhyzics by the applicant will be recovered at cost.
5.No materials shall be distributed by the applicant in any form.
6.Applicants are advised to take care of their vehicles and personal belongings. Fhyzics is not liable for any damage, loss or theft.
7.Fhyzics reserves the right to use individual candidates name and testimonials in promotion materials.

I further declare that the particulars/information given by me in this form are correct to the best of my knowledge and I agree to the above terms and conditions.