Corporate Member

You will get TOP listing on the Membership Directory along with contact details such as all phone numbers, address of all offices, ESSC section, photograph, a web-page. 2. Smart Identity Card to avail ESSC discounts. 3. Certificate of Membership. 4. Free individual membership registration for 10 employees. 5. Participation in Seminar, Workshops, training and conferences etc.

REGISTRATION APPLICATION FORM FOR COURSE
1. Registration Details / पंजीयन का विवरण * अनिवार्य फिल्डस (Mandatory fields)
Applicant's full name / आवेदक का पूरा नाम *
( Full name as per the highest / latest qualification certificate or legal certificate )
Father's Name / पिता का नाम *
( Full Name As Per Educational/Legal Certificate )
Mother's Name / माता का नाम *
( Full Name As Per Educational/Legal Certificate )
Gender / लिंग *
Date of Birth / जन्म दिनांक * (dd-Mon-yyyy) / /
( As per high school certificate in 'dd-Mon-yyyy' format. i.e. '01-Jan-1990' )
Category / वर्ग *
Married Status / वैवाहिक स्थिति *
2. Contact Details / संपर्क विवरण
Phone with STD Code/ दूरभाष एस टी डी कोड सहित
Mobile Number / मोबाइल नंबर *
Email Address / ईमेल पता
(e.g.abc@yahoo.com)
3. Address Details / स्थायी पता विवरण
Address Line1/पता पंक्ति 1 *
Address Line2/पता पंक्ति 2
Block /ब्लाक *
Panchat/Ward/पंचायत/वार्ड *
Country
State / राज्य *
District / जिला *
Pin Code / पिन कोड *
Aadhar Card Number (if) / आधार कार्ड संख्या (यदि हो तो)
4. Company Details/ कंपनी विवरण
Company Name / कंपनी का नाम *
Owner's Name / मालिक का नाम *
Address Line1/पता पंक्ति 1 *
Incorporation Date / पंजीकरण की तारीख * (dd-Mon-yyyy)
Designation / पदनाम
Incorporation Number (if) / पंजीकरण संख्या (यदि हो तो)
5. Upload Incorporation Certification / पंजीकरण प्रमाणपत्र
Upload Certification / पंजीकरण अपलोड करें *
( JPG,JPEG,GIF,PNG image with size upto 50 KB )
Fee शुल्क *
6. Declaration / घोषणा (यदि हाँ तो बॉक्स ( ) पर क्लिक ( ) करें)
We here by declare that all the information I have mentioned in the online application form for ESSC is true to my knowledge and belief. I also agree with the rules and regulations of the ESSC decisions of the organization and will always be. I am aware that if any type of statement given above is found to be false, my eligibility will be deemed to have expired before or after the appointment, apart from any other action which is deemed to be appropriate. Further I also understand that the organization will not be responsible for my loss due to any kind.
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