EmailMe Form - CPRE Application Form

Registration Number

Date of Examination *

DD / MM / YYYY

Mode of Examination *

Pencil & Paper

Venue of Examination *

Name *

First Last

Date of Birth *

DD / MM / YYYY

Place of Birth *

Company Name *

Department *

Examinee PAN Number

Designation *

Permanent Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Phone *

Course Name *

Attach your Photo and Address Proof:

Please upload your photograph and one government issued address proof (such as driving license or passport etc.)

File Upload - Photograph *

File Upload - Govt. ID *

Terms & Conditions:

1.Fees once paid is not refundable.
2.Fhyzics reserves the right to change the class location, faculty and time with 2 days prior notice.
3.The fee paid includes:
-The Online training for the guaranteed no. of hours
-Online Materials and Participation Certificate
4.Any Damages caused to the systems and property of Fhyzics by the applicant will be recovered at cost.
5.No materials shall be distributed by the applicant in any form.
6.Applicants are advised to take care of their vehicles and personal belongings. Fhyzics is not liable for any damage, loss or theft.
7.Fhyzics reserves the right to use individual candidates and testimonials in promotion materials.

I hereby declare that all the information provided above are true and in case of any wrong information I accept the disqualification. I am also aware that the fees paid towards the examinations will not be refunded. All fields are required.