International Course on Road Safety Audit, Biomechanics & Crashworthiness and Road Construction Safety
01 – 15 December 2020
Select (√ )
Module 1A:
Online In Person
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Module 2B:
Online In Person
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Module 3A:
Online In Person
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Module 3B:
Online In Person

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First Name*
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Passport No.
Place of Birth
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Date of Issue
Place of Issue
Valid upto
Mark of Identification
Father’s Name
Date of last visit to India
C. Professional involvement in transportation planning and safety promotion.
D. How do you expect this course to help you in your future activities?

E. Financial Arrangement Fees will have to be paid in advance for attending the course.

All travel and local costs are expected to be borne by the participants or the participating organizations.

Limited financial aid is available. Please indicate the absolute minimum aid needed by you, stating why it is required, if it is towards travel, hotel or registration fees.

Preference will be given to those who do not need aid:

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Reason for Financial Aid Request
BRIEF BIO DATA
COPY OF PASSPORT