Course Registration

Registration Form

* Indicates required field

Course: Designated Person Ashore (DPA)

Date: 01/01/0001 - 01/01/0001

Name *

Mobile Number: *

Email Address *

Qualification

Company Name

Designation

Address

Country *

State*

City*

Pin Code

No. of Participants

I agree to the use of my picture/ feedback on the Academy’s website

Note:

10% discount on Course Fee for 4 or more registrations.

After receipt of your form, we will send you the payment instructions.