Training - Registration

Full Name of Factory *

Licence Number *

Full Address of Factory *

Manufacturing Process Carried *

State *

District *

Taluk *

Landmark (Optional)

Training Administrator's Name and Title *

Responsible Person's Name and Title *

Responsible Person's Email *

Responsible Person's Mobile Number *

Name of Factory Manager*

Email of Factory Manager*

Mobile No. of Factory Manager*

Total Workers Who will Attend Training
(Minimum 30)*

Select Date to Attend the Training Session
(Select any date between March 4th to March 31st, 2024.)*

Payment Details

(Registration fee per member = ₹ 472)

Payment Proof *

Government of Karnataka