PIE TRG 12-Gen

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    PIE Pakistan Institute of Entrepreneurship

    -----------------------------------------------------------------------------------------------------------------------------------------

    Address: PIE House, # 531 Street 68, I-8/3 Islamabad, Pakistan. Tel: 051-4862713, Fax: 051-4862714

    e-mail: [email protected]

    Self-Sponsored

    Personal Information

    Name: Mr. / Mrs. / Ms.

    Address:

    Phone:

    Mob:E-mail:

    University Sponsored

    University Name:

    Address:

    Mailing Address: (if

    different)

    Phone:

    Fax:

    Mob:

    E-mail:

    Sr. No. Name Title Contact Number

    1.2.3.4.

    Course Information

    Workshop Title

    Dates & City of Course

    Payment in the name of Falcon Engineering, Islamabad.

    Cash / Online / Deposit : Rs. 8,500.00 Per Participant

    Mode of Payment Demand Draft No:

    Date:

    Bank:

    Other:

    Workshop Timing 10am 5pm (Including 1 x Lunch/ 2 x Hi-Tea, Coffee)

    Name:

    Designation:

    Signature: