REGISTRATION FORM

Program : Online ROBOT Programming & Operation course

Venue : MS Teams

Date : From 17-01-2022 to 19-01-2022

Faculty : Mr. Prasanna R.

1. Participant`s name
(Block letters) : YADAV SHUBHAM KRISHNAT
Qualification : BE (ELECTRICAL ENGINEERING)
Designation : MAINTENANCE ENGINEER
Department : MAINTENANCE
E Mail : SHUBHAM.yadav@coopercorp.in
Mobile number : 8793330133

2. Company Name& Address : Cooper Corporation PVT LTD

M60-1, New MIDC, Satara, Maharastra.

3. Have you undergone any other Training program related to this training?
If yes Name of program Name of training Institute Schedule
______________ _____________________ ________
______________ _____________________ ________

4. Experience in ROBOT : __1__ Years

Participants Signature