api spec q1 training/media/files/events/api-u/2016 api-u... · api spec q1 training specification...

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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 [email protected]. 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.

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Page 1: API Spec Q1 Training/media/Files/Events/API-U/2016 API-U... · API Spec Q1 Training Specification for Quality Systems – Practitioner ... ASNT NDT Level III in 5 methods, IIW Certified

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

[email protected].

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.