GIRL CYBER DEFENCE — 30 DAYS PAID TRAINING REGISTRATION FORM Advanced Women Cyber Safety & Digital Survival Training Program Full Legal Name *Father Name *Mother Name *Date of Birth *Age *Gender *Female OnlyNationality *Religion *Phone Number *WhatsApp Number *Email Address *Instagram Username *Preferred Language Medium *EnglishHindiPreferred Batch Timing *Morning BatchAfternoon BatchEvening BatchLate Night BatchTime Zone *Marital Status *SingleMarriedDivorcedWidowHusband’s Name (If Applicable)Current Status *School StudentCollege StudentWorking ProfessionalBusinessHomemakerFreelancerOtherSchool / College / Organization Name *Highest Qualification *Stream / Subject *Are You From Any Of These Backgrounds? *Computer ScienceCyber SecurityPsychologyLawMedicalCriminologyForensicsMediaBusinessOtherHave You Ever Attended Any Cyber Security Training Before? *YesNoWhich Device Will You Use For Training? *Windows Laptop / PCMacBookLinux SystemAndroid PhoneiPhoneTabletAre You Comfortable Using Google Meet Daily? *YesNoWhy Do You Want To Join This 30 Days Training Program? *What Do You Expect To Learn From This Training? *According To You, What Is The Biggest Online Threat Faced By Girls Today? *Have You Ever Faced Any Of The Following? *Fake ProfileCyber HarassmentOnline BlackmailingSextortionDeepfake / MorphingSocial Media HackingOnline StalkingFinancial ScamPrivacy LeakEmotional ManipulationNoneDo You Want To Learn How To Protect Yourself & Others Online? *YesNoCan You Attend Daily 1 Hour Live Training Sessions For 30 Days? *YesNoAre You Comfortable Participating In Interactive Sessions? *YesNoDo You Understand That This Training Is LIVE And Recorded Videos Will NOT Be Provided? *YesNoDo You Understand That Screen Recording, Recording, Screenshot Leakage, Or Unauthorized Sharing Of Training Material Is Strictly Prohibited? *YesNoAre You Comfortable Following Training Discipline & Privacy Rules? *YesNoAre You Serious About Completing The Full 30 Days Program? *YesNoWould You Like To Join Girl Cyber Defence Volunteer Network In Future? *YesNoIs Your Family Aware That You Are Joining This Training? *YesNoAre You Currently Facing Any Serious Cyber Threat Or Online Harassment? *YesNoUpload Your Latest Three Photo *Drag and Drop (or) Choose FilesUpload Front Side Of Aadhaar Card *Choose FileNo file chosenDelete uploaded fileUpload Back Side Of Aadhaar Card *Choose FileNo file chosenDelete uploaded fileSignature *Start signing your signature hereYour browser does not support e-Signature field.Preferred Payment Method *UPIBank TransferPayPalInternational TransferDo You Understand That Your Seat Will Be Confirmed Only After Payment Verification?* *YesNoDo You Understand That Training Fees Are Non-Refundable Once Batch Access Is Provided? *YesNoDo You Agree To Maintain Confidentiality Regarding Internal Discussions & Training Content? *YesNoDo You Confirm That All Information Submitted By You Is Accurate & Genuine? *YesNoDo You Understand That Fake Information, Misconduct, Or Content Leakage May Result In Immediate Removal & Permanent Blacklisting Without Refund? *YesNoConsent *Yes, I agree with the privacy policy and terms and conditions. SubmitSave as Draft
