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Lean Six Sigma Black Belt - Eligibility Inputs

The purpose of collecting this information is to assess the suitability of the candidate in terms of Six Sigma Green Belt knowledge base and understanding in order to enroll for the Black Belt. This enables us to ensure only those candidates with adequate level of knowledge and understanding get admitted to the rigorous and advanced Black Belt program.

Please provide information relating to your Green Belt Qualifications via the form below. On receipt of this application, we shall respond within 48 hours with a feedback in respect of your enrollment to upcoming Black Belt program.

My Green Belt Certification Information

* Indicates required field

Name *

First

Last

Email *

Phone Number *

City or Location *

Name of Green Belt Program Underwent *

Duration of training (In Hours) *

Duration of Training (in Days) *

Course Curriculum (Detailed - Copy and Paste) *

Training Provider / Institute / Organization (where you got trained) *

Training Dates (Day/Month/Year) *

City / Location of Training *

Name of the Facilitator (conducting the training) *

Trainer / Facilitator Competency Level *

Assessment Exam / Test Taken? *

Yes No

Assessment Exam / Test Duration (in Hours) *

Assessment Exam / Test Type *

Multiple Choice Objective Type Descriptive Type Combination (Multiple Choice + Descriptive)

Exam Score / Marks (Obtained and Maximum Possible) *

Copy of Certificate (Upload) *

Max file size: 20MB

Other Information (if any you wish to provide) *

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