Course Registration – National Institute of Watersports

COURSE REGISTERATION FORM

NAME:

COURSE NUMBER:

SCHEDULE:

AGE:

DOB:

ADDRESS:

TELEPHONE/MOBILE NUMBER:

STATE OF DOMICILE:

COURSES APPLIED:

EDUCATIONAL QUALIFICATION:

PURPOSE OF UNDERGOING COURSE:

EmploymentSelf-employmentHobbyOthers (Pl. specify)

Hereby declared that I do not hold any valid license/ certificate from NIWS on the course(s) for which I am taking fresh admission at present. I do understand that holding more than one valid license of the same course at a time it is illegal and against rules. Further to certify that the above furnished information is true and correct to best of my knowledge and understanding.

Signature Of Trainee

REGISTRATION