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Mr Mrs Dr HE
Country code
Country code
Country code
Country code
Country code
Pincode
Country *
For participant(s)
REGISTRATION FEE for 1 executive: INR 60,000 inclusive of service tax INR 50,000 inclusive of service tax (For Early Bird before 31 January, 2015)
2 executives from the same company: INR 1,00,000 inclusive of service tax INR 80,000 inclusive of service tax (For Early Bird before 31 January, 2015)
a) Before February 15th, 2015 -> full amount minus service tax will be refunded
b) After February 15th, 2015 -> 50% amount will be refunded after deducting applicable taxes
c) No refunds are possible for cancellations received after February 25th, 2015
Cancellations have to be notified in writing and sent by e-mail to thegrowthnet@anantacentre.in
Please issue cheque/demand draft in favor of Ananta Centre, payable at New Delhi and send it to the following address along with this form:
Ramit Grover, Director, Ananta Centre, First Floor, Thapar House, 124, Janpath, New Delhi - 110001
PAYMENT
VENUE & ACCOMODATION
The Growth Net 2015 will take place in New Delhi, at the Taj Palace Hotel
Sardar Patel Marg, Diplomatic Enclave
New Delhi 110 021 - INDIA
Tel: +91 11 26110202 Fax: +91 11 26110808
Blocks of rooms with preferential rates are available for registered delegates.
Please contact vikash.sharma@tajhotels.com (+91 11 66503829) &
ramit.grover@anantacentre.in (+91 11 40733310) for booking your accomodation at the Taj
Palace citing reference to The Growth Net.
Your registration includes access to all sessions on the program as well as lunches and dinners of the Forum. Please note that it does not include transportation or accommodation.
Cancellation policy
Should you need to cancel your participation, you may nominate a replacement. The nominee must be of senior executive level and the substitution will be subject to approval by the organizing committee
In the event of a cancellation made:
REGISTRATION FEE
3 or more executives from the same company: to get a corporate discount please contact us thegrowthnet@anantacentre.in or our office 91-11-40733305
State
Website
Assistant Email
City *
Direct Phone
COMPANY INFORMATION
Company Name
Parent Company
(if applicable only)
Sector *
Address *
Direct Fax
Email *
Assistant Name
Direct Phone *
Cell Phone
Please scan and send your registration form to thegrowthnet@anantacentre.in with the following documents:
A short biography in English, 120 words maximum
A picture of yourself (hi-res picture in jpeg, png or pdf format only)
Company profile in English (If applicable) 120 words maximum
PERSONAL INFORMATION
Yes, I wish to attend The Growth Net. Please find enclosed with this form the Chq/DD for INR
Title
Last Name *
First Name *
Company/Organisation
Designation *
Telephone
3rd$Annual$Mee,ng!
New!Delhi,!Taj!Palace!
25!–!27!March!2015!
REGISTRATION FORM
*Fields marked with are mandatory

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tgn15_regform_in

  • 1. Mr Mrs Dr HE Country code Country code Country code Country code Country code Pincode Country * For participant(s) REGISTRATION FEE for 1 executive: INR 60,000 inclusive of service tax INR 50,000 inclusive of service tax (For Early Bird before 31 January, 2015) 2 executives from the same company: INR 1,00,000 inclusive of service tax INR 80,000 inclusive of service tax (For Early Bird before 31 January, 2015) a) Before February 15th, 2015 -> full amount minus service tax will be refunded b) After February 15th, 2015 -> 50% amount will be refunded after deducting applicable taxes c) No refunds are possible for cancellations received after February 25th, 2015 Cancellations have to be notified in writing and sent by e-mail to thegrowthnet@anantacentre.in Please issue cheque/demand draft in favor of Ananta Centre, payable at New Delhi and send it to the following address along with this form: Ramit Grover, Director, Ananta Centre, First Floor, Thapar House, 124, Janpath, New Delhi - 110001 PAYMENT VENUE & ACCOMODATION The Growth Net 2015 will take place in New Delhi, at the Taj Palace Hotel Sardar Patel Marg, Diplomatic Enclave New Delhi 110 021 - INDIA Tel: +91 11 26110202 Fax: +91 11 26110808 Blocks of rooms with preferential rates are available for registered delegates. Please contact vikash.sharma@tajhotels.com (+91 11 66503829) & ramit.grover@anantacentre.in (+91 11 40733310) for booking your accomodation at the Taj Palace citing reference to The Growth Net. Your registration includes access to all sessions on the program as well as lunches and dinners of the Forum. Please note that it does not include transportation or accommodation. Cancellation policy Should you need to cancel your participation, you may nominate a replacement. The nominee must be of senior executive level and the substitution will be subject to approval by the organizing committee In the event of a cancellation made: REGISTRATION FEE 3 or more executives from the same company: to get a corporate discount please contact us thegrowthnet@anantacentre.in or our office 91-11-40733305 State Website Assistant Email City * Direct Phone COMPANY INFORMATION Company Name Parent Company (if applicable only) Sector * Address * Direct Fax Email * Assistant Name Direct Phone * Cell Phone Please scan and send your registration form to thegrowthnet@anantacentre.in with the following documents: A short biography in English, 120 words maximum A picture of yourself (hi-res picture in jpeg, png or pdf format only) Company profile in English (If applicable) 120 words maximum PERSONAL INFORMATION Yes, I wish to attend The Growth Net. Please find enclosed with this form the Chq/DD for INR Title Last Name * First Name * Company/Organisation Designation * Telephone 3rd$Annual$Mee,ng! New!Delhi,!Taj!Palace! 25!–!27!March!2015! REGISTRATION FORM *Fields marked with are mandatory