| |
Fields marked with * are mandatory |
| |
Name* |
: |
|
|
| |
Mobile Number* |
: |
|
|
| |
E-mail* |
: |
|
|
| |
Designation* |
: |
|
|
| |
Department |
: |
|
|
| |
Organisation* |
: |
|
|
| |
Address1* |
: |
|
|
| |
Address2* |
: |
|
|
| |
Address3* |
: |
|
|
| |
City* |
: |
|
|
| |
State* |
: |
|
|
| |
Country* |
: |
|
|
| |
Pincode* |
: |
|
|
| |
Fee Option* |
: |
|
Conference Registration
Award Registration
Combo Registration |
| |
Number of Delegates* |
: |
|
|
| |
Amount* |
: |
|
|
| |
Payment Mode* |
: |
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
Please note: Registration fee is Rs. 5000 /- per delegate. |
| |
|
|
|
|
| |
Combo delegate fee for Conference & Awards is 7500 /- per delegate. |
| |
|
| |
• Mode of Payment can be through Cheque/DD or online, Cheque/DD to bedrawn in favour of 'Adsert Web Solutions Pvt Ltd.' payable at New Delhi |
| |
|
| |
• All submissions to be addressed to 'Priyanka Sood & Palak Verma' and send on the following address: B-20, Sector 57, NOIDA - 201 301, UP |
| |
|
| |
• Disclaimer |
| |
|