Joining Form

General Instruction

  • Please fill the form in capital letters.
  • We may be constrained to reject the form in case of missing details.
  • Please mention NA if the field is not applicable.

CEMEC - Center Registration

Payment Details

Scan DD /Cheque or NEFT:
Courier Details:
ID Proof:
Photograph:
Center Image:
Address Proof:
Payment Remarks:

Declaration

I/We declare and confirm that -
  1. All information and attachments submitted in this applicable are true and correct
  2. I/We are aware that any false information provided herein will result in the rejection of my/our application and cancellation of any registrations granted.
  3. I/We declare that I have not paid joining amount in cash.