The Society For Surface Protective Coatings- India



Application Form For Participation in SSPC India Courses



1. Course applied for (Please tick mark your appropriate choice)


  2 Day Intensive Course On Corrosion Of Concrete Structure

  Certification Course On Paint Coating Inspection & Quality Control

Level-1   Level-2   Level- 1 & 2 (Together)

  Intensive Course On Pipeline Corrosion

  Intensive Course On Surface Engineering And Light Weight Alternative Materials For Automotive

  Technician Course For Blasters & Painters



2. Personal information

Name of the applicant (in BLOCK letters):


Date of Birth:


Academic qualification:


Area of specialization:


Occupation:


Designation:


Organization:


Whether SSPC member? Yes / No, if yes, membership no:


Name of the applicant (in BLOCK letters):


Address:



Email:


Phone: