ANNA UNIVERSITY AU TVS CENTRE FOR QUALITY MANAGEMENT PROGRESS THROUGH KNOWLEDGE LEAN SIX SIGMA GREEN BELT CERTIFICATE COURSE 45th Batch Above 700 Delegates 6σ Certified Six Day Intensive Training Course Two Weekend Program Jan 2015 – 23rd, 24th, 25th Jan 2015 – 31st & Feb 1st, 2nd Time: 9.30 am – 5.00 pm 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. Fees Rs.15, 000/- includes professional fee, Course Kit, Lunch & refreshments, Certificate, etc. Documents for registration: 1. Duly filled in form 3. Soft copy of passport size photo and 2. Identity proof 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. Payment should be in favour of "AU TVS Centre for Quality Management". Kindly email proof of your payment option to confirm registration. - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Name (Mr. / Ms.) _________________________________ Passport Size Photo sent by E mail - Yes/ No Name of the Organization: _____________________________ Designation: __________________________ Specify your identity document enclosed________________________________ (Company ID /Pan Card/ Voters Id/ Passport/ Driving License/any other valid proof) Products/Service of the Organisation___________________________________________________________ Academic Qualification: _________________________ Experience. (Years): _________________________ Address (Residence/Company):________________________________________________________________ Telephone: ___________ Mobile: _______________ E-Mail:_______________________________________ PAYMENTS DETAILS Amount: ___________ Payment Mode: Cheque/DD No___________ 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 +91-44-2235-8555 2235-8552 2235-2047 2235-8623 Enquery kindly email your query with your phone number to [email protected] Road Map will be sent on Receipt of Duly Filled in form http://www.annauniv.edu/pdf/green45.pdf