ENROLLMENT FORM

Fax : 080 – 2337 0428

Head of the Department – AEAMT
Email: training.cmti@nic.in
Central Manufacturing Technology Institute
sarmavap.cmti@nic.in
Tumkur Road Mob: 09449842686
Bangalore 560 022 09449842678

Course code
Title of the Training
Programme
Commencing Date
Sl Name of the participant Designation Contact No
No. (in block letters)
1
2
3
4
Organisation
Name
Address
(for correspondence)

Contact person
Name
Designation
Phone / Mob
Email
Fax

Enclosed Demand Draft No._________________________ dated______________________________

For ____________________ drawn on (Bank)____________________________________________

in favour of Central Manufacturing Technology Institute, Payable at Bangalore.

Date: Seal & Signature of the sponsoring Authority

Please Mail / Fax the completed form immediately for the address mentioned above

Email: training.cmti@nic.in / sarmavap.cmti@nic.in Website: http://cmti-india.net/training