E–Course: Design of Wastewater Treatment Units
 
A. Personal Details
Name * :
Permanent Address :
Correspondence Address :
E-mail ID * :
Telephone * :
Fax :
Date of Birth :  (DD/MM/YYYY)
Category :
B. Academic Details
Academic Qualification (with proof)
Educational Qualification Board/ University Year of
Passing
Percentage/
CPI
Diploma
B.E. / B. Sc.
M.E. / M. Sc.
 
C. Employment Details
Employment History (List from the most current employment in descending order)
Name of Employer Designation From To
 

Modules :*

Module I: Design of Wastewater Treatment Units - Physical & Chemical
Module II: Design of Wastewater Treatment Units - Biological
Module III: Design of Wastewater Treatment Units - Advanced treatment

D. Application Fee Payment Details

The Appropriate course fees can be paid either through NEFT, RTGS or demand draft drawn in favour of “Gujarat Energy Research & Management Institute”, payable at Gandhinagar, Gujarat. The service tax at 12.36% should be added to the basic course fee.

Please find below the Bank Account details for RTGS & NEFT transfer
Bank Name: Corporation Bank
Bank Address: Udyog Bhavan Branch, Gandhinagar - 382011
Bank Routing: IFSC: CORP0000583
Bank Account: 058300101006499

DD Amount: (Rs.)
DD No. and Date:
Drawn on (Bank & Branch name):
NEFT/RTGS Reference No.

If the participant wants to pay fees by Cheque/D.D. then kindly courier it via DTDC Courier service only.


DECLARATION

I have carefully read the details given about the course and other requirements on www.germi.org. I do hereby agree to abide by the decision of the Institute regarding my admission to the course. I certify that the information furnished in this application form is correct to the best of my knowledge and belief.

Terms and Conditions:

  1. The Appropriate course fees can be paid either through NEFT, RTGS or demand draft drawn in favor of “Gujarat Energy Research & Management Institute”.
  2. The service tax at 12.36% should be added to the basic course fee.
  3. The registration form should be submitted online latest by 20th April, 2014.
  4. The admission will be confirmed only after receipt of appropriate amount of course fees.
  5. The course fee is non-refundable.
  6. The course contents are the intellectual property of the GERMI, and should not be reproduced without permission. Non-compliance will attract the legal action.
  7. GERMI reserves the right to re-schedule the course time schedule.

I have read and completely understood, and agree to the Terms & Conditions for the Environment E-Courses.