Name of Course : SUJOK BASIC Name of Lecture : No
Date : __________________to_______________________
Name of the Participant
Gender
Contact No.
Address (M)
: : CERTIFICATE : : I, here by certify that above mentioned candidates are being trained & examined by me on______
Further I certified that I have deposited sum of Rs. ____________________ as 10% administartive fees on
Place :
_______________
Fees per candidate : Total Participants :
Contact No.
Email ID Educational Qualification (R)
ISA Member (Yes/No)
CERTIFICATE : : examined by me on______________ and they are qualified to receive certification.
10% administartive fees on_____________ in ISA, Nagpur Account by Cash / cheque / DD.