Student Registration Form

PTC Global Services

*Filled By ATC
ATC Details
NAME: GNA UNIVERSITY LOCATION: Phagwara CODE: PTC389
* Filled by Student.
Student Details
Name: (To be printed on certificate) :
Father’s Name :
Address for Communication :

Email ID :
Confirm Email ID :
Contact Number : Mobile- Phone
Educational Details : B TECH IN MECHANICAL & AUTOMATION ENGINEERING
Semester : VI
Currently Employed : Yes No
Work Experience : NOT APPLICABLE

* To be Filled By Authorized Testing Center

Course Details
Name : Creo For Design Engineers Code: PB Creo 4.0
Start Date: 18 March 2021 End Date : 17 April 2021
Student ID:
Instructor : Mr. Neeraj Kumar

___________________________ ________________________________
Signature of Student With Date Seal and Signature of ATC With Date

Please Mail To

Parametric Technology (India) Pvt. Ltd., 4th Floor Phoenix Towers, #16 Museum Road, Bangalore-560025
Phone: +91-8042526300 Fax: +91-80-42526400

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