leadership skills development programleadership skills development program lean six sigma at iit...

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Page 1: Leadership Skills Development ProgramLeadership Skills Development Program LEAN SIX SIGMA at IIT Kharagpur ... offering to help individuals or organizations build capability in Lean

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Page 2: Leadership Skills Development ProgramLeadership Skills Development Program LEAN SIX SIGMA at IIT Kharagpur ... offering to help individuals or organizations build capability in Lean
Page 3: Leadership Skills Development ProgramLeadership Skills Development Program LEAN SIX SIGMA at IIT Kharagpur ... offering to help individuals or organizations build capability in Lean
Page 4: Leadership Skills Development ProgramLeadership Skills Development Program LEAN SIX SIGMA at IIT Kharagpur ... offering to help individuals or organizations build capability in Lean

Dept. of Industrial & Systems Engineering , IIT Kharagpur. Email: [email protected];

Leadership Skills Development Program LEAN SIX SIGMA at IIT Kharagpur

Date: ____________

S.No. Name of Participant Designation Total Experience Educational Degree

1.

2.

3.

4.

5.

IIT Kharagpur (Industrial &Systems Engineering Department) and ASQ South Asia have developed a unique

offering to help individuals or organizations build capability in Lean and Six Sigma, which covers instruction,

learning, application and certification.

Individual Name/Company Name:

Home/ Office Address:

City:

State:

Pin Code:

Contact No:

E-mail id:

☐ Black Belt Training: (15 days) INR 86,000

Total No. of Participants: ………….

☐ Green Belt Training: (8 days) INR 50,000

Total No. of Participants: …………

☐ Project Support (remote, 5 sessions *2 hours each)

INR 40,000

Total No. of Participants: ……….

SUB TOTAL: ……………………………………….

Service Tax 15%: ………………………………...

TOTAL: …………………………………………………

PAYMENT INFORMATION

INDIVIDUAL/PARTICIPANT INFORMATION

INDIVIDUAL/ORGANIZATION INFORMATION ☐ Click the box, if the application is by an

individual, not sponsored by an organization

PLEASE NOTE

Interested individual candidates or organizations sponsoring candidates may please send this application along with registration fees in the

form of at par cheque or DD in favour of:

“CEP-STC, IIT Kharagpur” payable at Kharagpur, India

Contact Person IIT Kharagpur: Dr. Jitesh Thakkar

Dept. of Industrial & Systems Engineering, [email protected]

Contact Person ASQ South Asia: Mr. B.S. Rawat

ASQ South Asia, 325 DLF Tower B, Jasola District Centre, New Delhi – 110025

[email protected], +91 11 46783399

Individual/Authority Signature: ………….………