NED Academy
Centre for Multidisciplinary Postgraduate Programmes (CMPP)
Registration Form
POST GRADUATE CERTIFICATE COURSES (PGC)
NAME OF COURSE(S)
PHOTO
Affix your most recent
passport size photo
here (write your name
at the back of the
photo)
DEPARTMENT
NAME
(As should appear on certificate)
FATHER’S NAME
(As should appear on certificate)
QUALIFICATION
(provide photocopy of last degree & PEC)
Postal Address
Tel / mobile No: E-mail
INDIVIDUAL NOMINATED
NOTE:
1. 75 % attendance is must.
2. Provide photocopy of Degree & PEC.
Signature______________
OFFICE USE ONLY:
Director CCEE
Contact: Tel 9926-1261-8, Ext: 2297, 2397 Fax: 9926-1255 e-mail: [email protected]