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APPLICATION FORM (Training centre)

(Please photocopy this form if necessary)

Course Code .....................................................................................................

Course Dates.....................................................................................................

Course Title .......................................................................................................

Name..................................................................................................................

Designation........................................................................................................

Educational Qualification....................................................................................

Years of Experience...........................................................................................

Equipment Currently Handled ...........................................................................

Company Name.................................................................................................

Address for Correspondence.............................................................................

...........................................................................................................................

................................................Pin Code............................................................

Telephone......................................... Mobile .....................................................

Fax ................................................... Email ......................................................

Type of company :

c Original Equipment Manufacturer


c Authorised Dealer
c Authorised Service Centre
c Private Service Centre
c Educational Institution
c Tyre Shop

Equipment available at your workshop/service centre:


( Please list down the equipment name and make)
...........................................................................................................................

...........................................................................................................................

...........................................................................................................................

...........................................................................................................................

Payment enclosed :

Cheque / DD No:...............................................................................................

Training centre - Automotive Equipment Division


Elgi Equipments Limited
India House, Trichy Road, Coimbatore , Tamil Nadu - 641 018
Ph: +91-422-2302106
E-mail : trgcentre@elgi.com/mohanr@elgi.com Visit us at : www.elgi.com

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