NATIONAL SAFETY COUNCIL OF INDIA

Registration Form
E-learning Course on "Safety at Construction Sites"

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Mailing Address
(Where certificate to be despatched)
Rs. 8000.00
Payment Option (In favour of National Safety Council)

Check/Demand Draft along with copy of this duly filled-in form to be sent to
The Director General, National Safety Council
Plot No.98-A, Institutional Area,
Sector 15, CBD Belapur,
Navi Mumbai - 400 614

(mm/dd/yyyy)