Application Form for CEB

APPLICATION FORM
July, 2021 I Monday to Saturday I 8-9 AM

- Eligibility: Working Professionals
- Medium of Instruction: English
- Online Platform: Zoom
- The suggested range of contribution is Rs 7,800- Rs 13,000. The participants are encouraged to contribute as per their heart and financial situation. The ones who are capable of contributing on higher side are encouraged to do so, as we also wish to accommodate a few individuals who are not in a position to contribute financially.
- We prefer to give scholarships maximum up to 50% of the base contribution (Rs 7,800), provided the applicants share the situation at their end genuinely.

* Indicates required field

Name *

First

Last

Email *

Mobile Number *

Brief details of your present occupation.. *

Financially how much would you be able to contribute to the program (as per your willingness and capacity)? *

If you wish to avail a scholarship, kindly let us know about your reason for the same. *

How did you come to know about us (In case of 'a friend', kindly mention the name)? *

What inspires you to be a part of this program? (Minimum 200 words) *

Anything else you wish to share about yourself. *

Check the following: *

I have read the program description on the website I promise to attend all the sessions on time.

Submit