ANNA UNIVERSITY AU TVS CENTRE FOR QUALITY MANAGEMENT PROGRESS THROUGH KNOWLEDGE SIX SIGMA GREEN BELT CERTIFICATE COURSE 43rd Batch Above 650 Delegates 6σ Certified Six Day Intensive Training Course Two Weekend Program November 2014 – 21st, 22nd, 23rd 29th,30th & 1st Dec Time: 9.30am – 5.00pm Venue: AU TVS CQM (Behind Vivekananda Auditorium, Anna University) www.annauniv.edu autvs.sqc.org.in /[email protected] SIX SIGMA GREEN BELT - DELEGATE REGISTRATION FORM Date: Program Objectives  To evoke an appreciation of the Six Sigma concept to sustain a culture of process and result oriented improvement.  To impart the strong conceptual framework and the practical skills on the appropriate tools and techniques at the specific place of work to take up Black Belt Projects. Admission: Restricted to 20 on First Come First Serve Basis. Delegate Profile  Delegates desirous of Six Sigma Green Belt level qualification.  Delegates from Manufacturing, IT, BPO, Service Organization , etc.,  Teaching Faculty, Research Scholars& Students from Colleges. Affix recent Photograph Also mail the same Certificate will be provided to all participating delegates. FeesRs.15, 000/- includes professional fee, Course Kit, Lunch & refreshments, Certificate, etc. Documents for registration: 1. Duly filled in form 2. Identity proof 3. Soft copy of passport size photo and 4. Proof of payment Payment can be made through the following options:    You can drop a cheque/DD in either SBI or any other bank (ATM / bank branch). You can courier the cheque/DD to our office. You can pay online using - net banking SBI Anna University Acc.No.:10496976719, IFS Code:SBIN0006463. Payment should be in favour of "AU TVS Centre for Quality Management". - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Name (Mr. / Ms.) _________________________________ Name of the Organization: _____________________________Designation: __________________________ Specifyyouridentitydocumentenclosed________________________________ (Company ID /Pan Card/ Voters Id/ Passport/ Driving License/any other valid proof) Products/ServiceoftheOrganisation___________________________________________________________ Academic Qualification: _________________________ Experience. (Years): _________________________ Address (Residence/Company):________________________________________________________________ Telephone:___________ Mobile: _______________E-Mail:_______________________________________ PAYMENTS DETAILS Amount:___________ Payment Mode: Cheque/DD No/Transaction Code_________________ Date ______________Bank /Branch:____________________________ Signature - - - - - - - - - - - - - -- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Duly Filled in Registration form should be sent to: [[ The Director, AU TVS Centre for Quality Management, Anna University, Chennai – 25. Contact +91-44-2235-85552235-85522235-20472235-8623 Enquiry kindly emailyour query with your phone numberto [email protected] Road Map will be sent on Receipt of Duly Filled in form http://www.annauniv.edu/pdf/green43.pdf