Registration Form

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PARTICIPANT FORM

(Please duly complete the form and email the same to chinmaya@knowledgeworksindia.com

Cheques to be couriered to our address mentioned below)

Program name Certified Ethical Hacker v5.0 (CEH) Workshop :: Details

Dates

Thu 18th to Mon 22nd December 08

Duration &

Timings :

Venue :

5 Days [ 9:00am to 5:30pm]

M/s KnowledgeWorks IT Consulting Pvt. Ltd.,

197, E-5, 2nd Floor, 8th 'B' Main, 27th Cross,

Jayanagar 3rd Block, Bangalore - 560011

Route Map: Click Here

Fee Details:

1) Fees: Rs.28,000/ (all inclusive i.e Official ECCouncil courseware kit, online exam voucher and service tax)

2) Fees: Rs.17,000/- (Only training with official courseware but without certification)

3) Fees: Rs.13,500/- (Only training with eBook and without official courseware and certification)

*Fee is inclusive of program material, lunch & tea / coffee.

Registration is first come first serve basis.

Participant name Email Id Contact Number

Sponsor :

Address

Phone & email

Payment details

Enclosed please find Rs. (Rupees only) in CASH / Cheque** No: ________________ dated ___________ on ________________Bank.

(cheques on the name of ‘M/s.KnowledgeWorks IT Consulting Pvt. Ltd.,, Bangalore )

Address :

197, E –5, 2 nd Floor, 8 th B Main, 27 th Cross, Jayanagar 3 rd Block, Bangalore – 560011

Phone : +91 80 41533451 / 9886077575 [ Chinmaya Patil ]

For More details about Seminars & Workshops

Please Visit: www.clickevents.info

www.knowledgeworksindia.com

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