Rev No Date

04 07.10.2021 PARTICIPANT

Form: REGISTRATION FORM

Page 1 of 2
TSA-AC-F5

Training Details:

Training Program Title:

Location of Training:
Training Dates: From: ________ To: ____________

Personal Details:

First Name: Middle Name: Last Name:

Address for Communication

City: State: Pin Code:

Contact Number Off: Mobile:
Email ID

Educational Qualification

Professional Qualification
Current Employment Designation:

If Self Employed / Own business Proprietor / Partner / CEO / Managing Director

Other ____________
Current Job Profile
(In Brief)

Please Tick:
 Self Sponsored  Company Sponsored.
Note:

1. If Self Sponsored then kindly provide the below information

Personal PAN No: ____________________

2. If Company Sponsored then kindly provide the below details

Authorized Person’s First Name: Authorized Person’s Middle Name: Authorized Person’s Last Name:

Company’s Name & Address

City: State: Pin Code:

Authorized Person’s Contact Number Off: Mobile:

PAN No.: AABCT0716G Registered Office: Corporate Office: Email: info.in@tuvsud.com

TAN No.: MUMT09385F
Maharashtra GSTIN :
27AABCT0716G1ZN
CIN No.: U74220MH1999PTC121330
TÜV SÜD South Asia Pvt. Ltd.
TÜV SÜD House,
Off Saki Vihar Road,
Saki Naka, Andheri (East),
Mumbai – 400072, India.
TÜV SÜD South Asia Pvt. Ltd. https://www.tuvsud.com/en-in
Solitaire, 4th Floor,
ITI Road, Aundh,
Pune – 411007, India.
 Rev No Date
04 07.10.2021 PARTICIPANT

Form: REGISTRATION FORM

Page 2 of 2
TSA-AC-F5

Authorized Person’s Email ID

Payment Details:

Mode of Payment:
(Online / Cheque / Demand Draft)
Bank Name
Bank Branch Name
Amount

Online Transaction No.

(If payment done online)
Online Transaction Date.
(If payment done online)
Cheque / DD No.
Cheque / DD Date.
TDS amount deducted
Note:
 Cheque / Demand Draft should be drawn in favour of TÜV SÜD South Asia, payable at the location of TÜV
SÜD office that is responsible for training.
 Participation fee is non refundable / non adjustable against any other training program conducted by TÜV SÜD South
Asia.
 Changes in nomination is acceptable but shall be communicated at least 3 days in advance.
 This workshop is non residential.

** Declaration:
To be confirmed by the participant only if the training program title mentioned above is IATF 16949:2016
Internal Auditor. (Tick below boxes to confirm)

I declare and confirm that I have the adequate pre-requisite knowledge on ISO 9001:2015 requirements
including core tools and I understand that this is a pre-requisite requirement to become a qualified internal
auditor for IATF 16949:2016

____________________
Participant’s Signature

If participant is sponsored by company, authorized person’s signature and company seal to be affixed below.

--------------------------------------------------------------------
Authorized person’s signature and company seal

PAN No.: AABCT0716G Registered Office: Corporate Office: Email: info.in@tuvsud.com

TAN No.: MUMT09385F
Maharashtra GSTIN :
27AABCT0716G1ZN
CIN No.: U74220MH1999PTC121330
TÜV SÜD South Asia Pvt. Ltd.
TÜV SÜD House,
Off Saki Vihar Road,
Saki Naka, Andheri (East),
Mumbai – 400072, India.
TÜV SÜD South Asia Pvt. Ltd. https://www.tuvsud.com/en-in
Solitaire, 4th Floor,
ITI Road, Aundh,
Pune – 411007, India.