Qtech-Sol Prof Dev Center

Online Student Registration

First Name *

please enter your first name

Middle Name

Last Name *

please enter your last name

Email *

please enter email address

Password *

please enter password

Confirm Password *

please enter password

Country *

please select country

State *

City *

Country code *

please select country

Phone *

please enter phone number

ZipCode / PinCode *

please enter zip code / pin code

Student Category

Parent/Guardian Name:

Parent/Guardian Email:

Parent/Guardian Phone Number:

Parent/Guardian Signature:

Education:

Majors:

please select majors

Student Signature:

Education:

Majors:

please select majors

Student Signature:

Education:

Majors:

please select majors

Student Signature:

Consent and Data Processing

By submitting this registration form, you acknowledge and provide consent to the following:

'Qtech-Sol Prof Dev Center' will process the provided data for educational and administrative purposes.
You have the right to access, rectify, or erase your personal data, as provided for by applicable data protection laws.
You may withdraw your consent for data processing at any time by emailing us at qpdc@qtech-solutions.com / 732.770.4100 , 732.207.4564
Your personal data will be kept confidential and will not be disclosed to third parties without your explicit consent, except when required by law or for legitimate educational purposes.

I consent to the 'Qtech-Sol Prof Dev Center' using anonymized and aggregated survey data for promotional and marketing purposes. My personal information will not be disclosed in promotional materials without my explicit consent.

I understand that the survey data, including my academic and career information, may be used by 'Qtech-Sol Prof Dev Center' to provide me with personalized guidance, career planning, and educational support.

Upon successful registration, you will receive a confirmation email with further details about your participation in 'Qtech-Sol Prof Dev Center' programs and activities.

Signature:

Signature Date:

I have read and hereby agree to the Terms and Conditions.

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