www.nicmar.ac.in sode rcc exam sept2012 enrollmentform
TRANSCRIPT
NATIONAL INSTITUTE OF CONSTRUCTIONMANAGEMENT AND RESEARCH
SCHOOL OF DISTANCE EDUCATION
RCC/EXAMINATION ENROLMENT FORMSEPTEMBER 03-15, 2012
1. Name : ________________________________________________________
2. Registration Number : ________________________________________________________
3. Mailing Address : ________________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Tel: _____________________ e-mail: _______________________
4. Course : _____________________ Module _________________________
5. Centre :
Regional Contact Classes: (September 03-07, 2012)
Sr. Subject Date Presence Amount D.D. No. & Bank &No. (Y/N) Date Branch
1.
2.
3.
4.
Examinations: (September 08-11, 2012)
Sr. No. Course No. Course Title Module Assignment Submitted
1.
2.
3.
4.
5.
6.
Computer Proficiency Programme: (September 12-15, 2012)I wish to enrol for the Computer Proficiency Programme of four days and paying the fee of Rs. 11,236/-(Rs. Eleven Thousand Two Hundred and Thirty Six Rupees Only).
D.D. No. Date Bank & BranchSignature: ___________________
Date:________________________
Yes No
Rs. 3,090/-
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No