Title   Mr. Ms. Dr. First Name * Last Name * Mobile No.* Office Phone No. E-mail * Role / Designation Company Name * Office Address * Home Address Preferred Location --Select Preferred Location-- Ahmedabad Bangalore Chandigarh Chennai Delhi Hyderabad Kolkata Mumbai Pune Indore Cochin Trivendrum Gurgaon Noida Workshop Date --Select Preferred Date-- 8-9/15-16 - October Workshop Date --Select Preferred Date-- 24-25 - Sep 1-2 - Oct Workshop Date --Select Preferred Date-- 15-16/22-23 - October Workshop Date --Select Preferred Date-- 22-23 - October 29-30- October Workshop Date --Select Preferred Date-- 6-9 - October Workshop Date --Select Preferred Date-- 19-20/26-27- Nov Workshop Date --Select Preferred Date-- 20-23- October Workshop Date --Select Preferred Date-- 8-9 - October 15-16 - October Workshop Date --Select Preferred Date-- 19-20/26-27 - November Workshop Date --Select Preferred Date-- 2-3/9-10-October Workshop Date --Select Preferred Date-- 9-10/16-17-October Workshop Date --Select Preferred Date-- 17-20-November Workshop Date --Select Preferred Date-- 24-25-September 1-2 October Exclusive Offer Exclusive Offer Exclusive Offer Additional Comment Your Total Years of Experience By when do you Plan to get PMP Certified? Within 1 Month Within 3 months Within 6 months Not decided yet Are you going to attend the program in a group?

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Mumbai Office Trade Centre, Regus, 1st Floor, Bandra Kurla Complex, Bandra (E), Mumbai-400 051, INDIA Phone: 022-40700 861 AstroWix India Project Solutions Pvt. Ltd. A - 4 , Sector 4, Noida - 201 301, UP, INDIA Phone: + 91 (120) 403 3800, 431 5760 Website: www.astrowix.com | Email: info@astrowix.com Bangalore Office Level 9, Raheja Towers, MG Road, Bangalore - 560001, INDIA Phone: 080-41800 746