Course Enrollment

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Course Enrollment Form

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1. First Name *

2. Last Name *

3. Gender * Male Female

4. NIC Number

5. Email Address *

6. Telephone Number *

7. Which of the following best describes your current status?

Student Employed Unemployed Other

8. What is the highest level of education that you have completed? * High school College certificate University degree Masters Other

9. Which course would you like to enroll in? * Lean Yellow Belt Lean Blue Belt Lean Green Belt Lean Black Belt Other

10. Company

11. Designation

12. Duration of employment

13. Please describe any special conditions or requirements if you have.

When submitting this survey, you confirm you are aware of the following conditions:

Registration submitted by you is to facilitate class capacity. All private information filled in this form will not be externally shared.
Payment details will be shared via the email address provided

14. I've read the above information and would like to continue my registration. * Agree, please submit my registration.

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