Conference Visit

Registration Form

Delegate Fee : Rs. 2500/- (inclusive of Service Tax) per Delegate

(includes complimentary Lunch, Non-refundable)

Student Fee : Rs. 600/- (inclusive of Service Tax) per Student

(includes complimentary Refreshment, Non-refundable)

Organization Details

Organization Name *

Organization Address*

I / We would like to attend / Nominate the Following

Name *

Designation*

Mobile*

Telephone

Fax

Email *