ANNA UNIVERSITY

AU TVS CENTRE FOR QUALITY MANAGEMENT

PROGRESS THROUGH KNOWLEDGE

SIX SIGMA GREEN BELT CERTIFICATE COURSE

43rd Batch Above 650 Delegates 6σ Certified

Six Day Intensive Training Course Two Weekend Program

November 2014 – 21st, 22nd, 23rd 29th,30th & 1st Dec Time: 9.30am – 5.00pm Venue: AU TVS 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 - 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 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 [[

- - - - - - - - - - - - - -- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Duly Filled in Registration form should 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 emailyour query with your phone numberto autvscqm@annauniv.edu Road Map will be sent on Receipt of Duly Filled in form http://www.annauniv.edu/pdf/green43.pdf

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