iCLASS STUDENT Training Consultant: Sarfaraz Shaikh

ENROLLMENT FORM Email: sarfaraz.s@eccouncil.org Phone: +919892559960

Student Information

First Name VICTOR MANUEL Last Name HUARANGA ESPINOZA

Address JIRON JUAN DE RADA 416 URBANIZACION EL DORADO , SANTIAGO DE SURCO

Zip /Postal
City LIMA State LIMA 15039
code
Country PERU E-mail ESPINOZZA.V@GMAIL.COM

Company GEOTICS Alt - E-mail VHUARANGA@GEO-TICS.COM

Phone +51997956123 Alt - Phone

Preferred Language for CEH Videos Spanish

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LPT
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Mobile
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BUNDLES VAPT Track All access pass Incident Handling Bundle Forensics Bundle Buy 1 Get 1

T O TA L ( U S $ ) 1364
PAYMENT TERMS: Payment will be due at time of registration.

What Do We Provide in the Live full responsibility for 100% payment of the course. months from invoice date. The iLearn courses are a
course? single user license and are not transferrable.
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= 100% physical courseware once seal is broken by client.
• After start of the class, but prior to completing Online course materials such as e-courseware,
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Unless EC-COUNCIL is notified within the terms of
begins on date of invoice and ends twelve (12)
cancellation set forth above, CLIENT will maintain

By selecting this option and typing your name below you agree that you understand the terms above

Name & Title VICTOR MANUEL HUARANGA ESPINOZA

Date 16/04/2021