Register Online

  Name of the Program  
  Program Date  
  No. of Participants Nominated  

PARTICIPANT'S DETAILS
  Name  
  University / Company  
  Designation  
  Department  
  Mobile Number  
  Preferred Email  
  Postal Address  
  CNIC  
  DOB  

EDUCATION
DEGREE
COLLEGE OR UNIVERSITY
DATES ATTENDED
NO. OF ACADEMIC YEARS

GRADE DIVISION

FROM
TO
           
           
           

PROFESSIONAL EXPERIENCE
POSITION
EMPLOYER
EXPERIENCE
YEARS IN POSITION

REFFERENCE

START
FINISH
           
           
           

TECHNICAL TRAININGS / COURSES
DESCRIPTION OF TRAININGS/ COURSES
INSTITUTE
DATES ATTENDED
DURATION
FROM
TO
         
         
         

We wish to register the mentioned delegate/s for the workshop.
Payement Method: Demand Draft   Pay Order   DD/PO #:
Amount:

CANDIDATE VALIDATION

I certify that the statements above including my attachements are accurate to the best of my knowledge. I hereby authorize the institute to verify any information submitted. I understand that any falsification of any information in this application or attachment may cause for rejection or withdrawl of certification.

I further agree to hold the CERM harmless from any additional liability in the event if this application is rejected on the basis of information furnished to CERM by me or third person which would make me ineligible.
I further agree to adhere to he CERM's Code of Professional Conduct and, if i am certified, to meet the requirements of continous certification.