National Accreditation Board for Testing & Calibration Laboratories (NABL)

4-day Training Course on Understanding

‘General requirements of Proficiency Testing’ as per ISO/IEC 17043:2010
25th – 28th July 2017
at
Indian Rubber Manufacturers Research Association (IRMRA)
Thane, Maharashtra
Please complete and return this form by email to *
Ms Anita Rani, PTP Coordinator
NABL Secretariat, Email: anita@nabl.qcin.org, nablpt@nabl.qcin.org

REGISTRATION FORM
A.REGISTRTAION FEES
Registration fee per participant Rs. 12000
Service tax @ 15% Rs. 1800
Total Fees* Rs. 13800
DD No. & Date
Bank Name & Branch
*Fees to be paid by DD / Cheque in favour of NABL, payable at New Delhi
B.PERSONAL PARTICULARS
Title (please tick) Mr Mrs. Ms. Dr.
.

Name :
Organization :

Position/Designation :

Organization Address

City Postal Code

State Telephone (O)

Fax

Email Address Mobile

C. SCHEME FOR PT
Have you organised any PT Scheme in the past Yes / No

If Yes, Standard followed for conducting PT Programs and

details
 Total Participants participated in the program

Any plan to organise PT Scheme in future Yes / No

If Yes, details of scheme planned to organize

* Hard copy of the same is to be sent at NABL House, Plot No. - 45, Sector – 44, Gurgaon - 122002 (Haryana) India
(Signature & Date)
Note: (a) Please note that seats are limited and will be registered on first come first basis.
(b) Participants have to make their own arrangements for accommodation