DR MANIBHAI DESAI MANAGEMENT TRAINING CENTRE BAIF Bhavan, Dr. Manibhai Desai Nagar N. H. 4, Warje, Pune 411 052.  Maharashtra Ph:  91-20-5231661, Fax:  91-20-5231662 E-mail: baif@vsnl.com


MDMTC 

    NOMINATION FORM

PROGRAM TITLE:__________________________________________________________________

PROGRAM NO.:____________________________________________________________________

Name Dr./Mr./ Ms.:____________________________________________________________________

Designation:______________________________________________________________

Organisation.: _______________________________________________________________________

Address for Correspondence.:__________________________________________________________

________________________________________________________________________

Phone/S:_____________________Fax:__________________E-mail:__________________

Program fees:_________________Residential:____________Non-residential:____________________

DD/Cheque No.:______________Date.:__________________Bank:____________________________

Educational background:_______________________________________________________________

Brief description of current responsiblities:________________________________________________ _________________________________________________________________________ _________________________________________________________________________

  TRAVEL PLANS

1.Arrival at MDMTC:

   Date:____________________________Mode of Travel:___________________________________

2. Departure from MDMTC:

   Date:____________________________Mode of Travel:___________________________________  

Signature:__________________________


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