1. Moving towards Knowledge based Economy
- Basic imperatives & Agenda for Reforms
Wednesday, 5 August 2015 : ISB’s Mohali campus
REGISTRATION FORM
PARTICIPATION CHARGES
Category CII Members Non Members Institutions
Delegate Registration Rs 1000 per person Rs 1500 per person Rs 1000 per person
Following from our organization would attend:
SNo Name Designation Mobile No Email
1 RAJEEV KUMAR
TIWARI
CHAIRMAN 9369205841 rktiwari2003@rediffmail.com
2
3
4
5
Nominated by :
Name: _____________RAJEEV KUMAR TIWARI ________
Designation: _____CHAIRMAN _________________ Organization: __SHRINE CONSULTANCY SERVICES_
Address:______SON OF JITENDRA NATH TIWARI VILALGE AND POST TIKHAMPUR BALLIA UP 277001__
Phone: ___9369205841_______Fax:__NA_____Email:_rktiwari2003@rediffmail.com__
Payment
Demand Draft / Cheque Number __________________ dated ____________ drawn on Bank _____________________
for Rs. _________, in favour of “Confederation of Indian Industry” payable at Chandigarh is enclosed
_/ National Electronic Funds Transfer (NEFT) - UTR No :_____AXIS BANK CUSTOMER SERVICE ___
Address : ICICI Bank, SCO 145, Sector 28-D, Chandigarh | Account Number : 096405000420
Swift Code : ICICINBB | NEFT/IFSC Code : ICIC0000964
Please Note :
∗ Fee is inclusive of Service tax
∗ 10% discount would be offered on 5 or more nominations
∗ 20% discount would be offered on 10 or more nominations
∗ 10% discount would be offered for complete payments before 15 July 2015
∗ Fee is non - refundable, however change in nomination is acceptable
∗ Programme is non-residential
Please email to completed Registration Form to ashish.k@cii.in