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API Spec Q1 Training Specification for Quality Systems – Practitioner
Presented by ICO International Group – Pune, India
2016 Registration Form
www.api-u.org Page 1 of 1
Attendee Information Please type or print clearly, using a separate form for each attendee.
Name:
Name for Badge:
Job Title:
Company:
Department/Division:
Street Address:
City:
State: Zip Code:
Phone: Fax:
Email:
Is your company part of API Monogram/APIQR Program(s)? Yes No
If yes, please provide your Facility ID:
If you require special assistance, make a note of your needs here:
Registration (per attendee)
Fee for Q1 Practitioner (4 day course)
Indian Rs 47,750 per candidate
Registration and payment deadline is two weeks prior to the opening
date of each course. Please select the appropriate box below.
Practitioner December 19-22, 2016
* Dates subject to change based on enrollment numbers.
Group Discount Gross 10% discount for a group of 6 to 11 Candidates.
Gross 15% discount for a group of 11 or more Candidates.
Note: The payment has to be paid two-weeks before the date of scheduled
course.
Course Language: English
Payment by Credit Card
You can pay in Indian Rs. Please contact Dr. Santosh at
Visa MasterCard
Card Number:
Expiration Date:
Code:
Name on Card:
Signature:
Payment by Bank Wire Transfer
ICO International Group P L Address: Loyang Offshore Supply Base, No 5002, 25, Loyang Crescent, Singapore 508988 Account Number: 260 – 857065 – 178 SWIFT Code : HSBCSGSG Bank: The Hong Kong and Shanghai Banking Corp Ltd ( HSBC) Address of bank: Collyer Quay Branch, 21 Collyer Quay,# 02-01
HSBC Building, Singapore 049320 Payment by Check Check payments not accepted.
Cancellations Cancellation before 2 weeks from the start date of course: deduction of Rs
500.
Cancellation after 2 weeks: 50% of the paid amount shall be deducted.
Alternative participant is permitted.
Training Venue: Prune, India
Course Facilitator: Dr. Santosh Gupte Send this completed form to [email protected]
About Trainer: A Mechanical Engineer, having PhD in Quality Management.
ASNT NDT Level III in 5 methods, IIW Certified International Welding
Engineer. He is having hands-on experience in Upstream and Downstream
sector of Oil & Gas for more than 25 years. He is Ex-API Auditor as well as
Ex-IRQS Auditor. He is also contributing & reviewing member of DS1 Edition
4 Standard of TH Hill. He is API Approved Trainer for API Q1, Q2 and Lead
Auditing courses.