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ANNA UNI VERSI TY

AU TVS CENTRE FOR QUALITY MANAGEMENT



PROGRESS THROUGH KNOWLEDGE







SIX SIGMA
GREEN BELT
CERTIFICATE COURSE
40
th
& 41
st
Batch
Above 650 Delegates6 Certified
Six Day Intensive Training Course
Two Weekend Program

40
th
B - June 2014 20
th
, 21
st
, 22
nd

28
th
, 29
th
& 30
th

41
th
B - July 2014 11
th
, 12
th
, 13
th

19
th
,20
th
& 21
st

Time: 9.30am 5.00pm
Venue: AUTVS CQM
(Behind Vivekananda Auditorium, Anna University)
www.annauniv.edu
autvs.sqc.org.in / autvscqm@annauniv.edu

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.

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 - credit card / debit card / net banking SBI Anna University
Acc.No.:10496976719, IFS Code:SBIN0006463.
Payment should be in favour of"AU TVS Centre for Quality Management".
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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
[[
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Duly Filled in Registration formshould 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 emailyourquerywithyour phone numberto autvscqm@annauniv.edu
Road Mapwillbe sent on Receipt of DulyFilled in form http://www.annauniv.edu/pdf/green40&41.pdf


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