Trainer Registration Form

Please fill in the following Registration Form to Enrol yourself as a Trainer.

Name of the Trainer *

First

Last

Date of Birth *

Gender

Phone

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Academic Qualification (Technical/ Professional):

Do you have any certification in Training /Teaching domain? *

How many years of Training/Teaching experience you have? *

Preferred area of your Training

Please give details about the nature of training you conduct for e.g. Parenting, Health & Well being, Corporate Success etc.

Please upload your recent passport size photograph *

Only File type JPG and PNG is allowed. Max file size is 1 MB

Please upload your Resume/CV

Only Fie type PDF and Word is allowed. Max file size is 1 MB

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