Registration Form - FC
Registration Form - FC
Title
First Name
Experience
(in Yrs.)
Last Name
Designation
Date of Birth
Qualifications
E-mail ID
Areas of Work
Mobile No.
No.
Credit Card
No.
Bank
Amount (Rs.)
Amount (Rs.)
Expiry Date
The payment can also be done online at
http://franklincoveysouthasia.com/trainingconsulting/publicworkshops/register/pay.asp
Cheque/DD to be sent in favor of "FranklinCovey Training & Consulting LLP" at either of the addresses
given below:
Delhi
Mumbai
Bangalore
JIL Towers A,
Institutional Area, Sector-18,
Gurgaon 122001
Phone: +91-124-4782222
Brief Profile of Candidate(s) & Expectations or Top 3 Goals from the Course
Terms & Conditions: An authorized individual must confirm this order. Heads marked in Yellow color are mandatory to be filled.
Conditions of Booking: - An individual who is authorized to make purchases on behalf of the company must sign the confirmation
above. By signing the agreement the customer is confirming the booking of a seat for a public program with FranklinCovey India
Training and Consulting and is agreeing to the terms and conditions of booking as detailed. The entire contents of the program are
copyrighted by FranklinCovey India Training and Consulting under International Copyright Laws. Participants cannot modify, copy,
distribute, transmit, display, perform, reproduce, publish, license, create derivative works from, transfer, or sell any information,
software, products or services obtained from this program in any manner without the express written consent of FranklinCovey
India Training and Consulting .
Cancellation Policy: - Once the booking is confirmed as above the following cancellation policy applies:
Once the invoice is raised it will not be cancelled and we will issue a credit for the value paid which can be used for up to 6
months from the date of issue of the invoice.
If a Participant fails to attend the program, the fees will not be refunded, however the replacements are allowed
For cancellations or postponements received 7 working days or less before the date of the workshop or, if a registered
participant does not cancel or postpone and fails to attend the workshop, 75% of the fee paid is issued as a credit to be
used for up to 6 months from the date of issue for any future FranklinCovey workshop in that Financial Year. (The
remaining 25% is allocated as a cancellation fee to cover costs already incurred by FranklinCovey India Training and
Consulting )
Declaration: - I hereby declare that I am attending the program solely for my personal development and not for any commercial
purpose.
Authorized Signatory