Course Registration Form

Full Name (As on Government approved photo id)*

Registration Mode*

Gender*

Designation*

Organization*

Address*

City*

State*

Country*

Pin Code*

Mobile Number*

Email ID*

Government Approved Photo ID*

ID Card Number*

Certification Program*

Name for GST Invoice

GST Number (if any)

Declaration

I declare that the information provided above are true to the best of my knowledge and belief and that I have not willfully suppressed any material fact. I also understand that if after the approval of the application, it is found that I have made a false declaration or willfully suppressed material facts, I may be required to withdraw from the programme and any fee paid will not be refunded.
I understand that the offer of admission by Equalifi is conditional upon my satisfying all the prevailing criteria for admission.
The registration fee is non-refundable, non-transferrable and cannot be deferred.

I Agree

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