SlideShare a Scribd company logo
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

More Related Content

Viewers also liked

Tcl
TclTcl
TITRES À IMPACT SOCIAL (Social Impact Bons)
TITRES À IMPACT SOCIAL (Social Impact Bons)TITRES À IMPACT SOCIAL (Social Impact Bons)
TITRES À IMPACT SOCIAL (Social Impact Bons)
Serge G Laurens
 
Salud del adolescente
Salud del adolescenteSalud del adolescente
Salud del adolescente
Gema Itzel Mendoza McGinnis
 
GOVERNMENT PROGRAMMES &POLICIES FOR ENTRE PRENEURSHIP
GOVERNMENT PROGRAMMES &POLICIES FOR ENTRE PRENEURSHIPGOVERNMENT PROGRAMMES &POLICIES FOR ENTRE PRENEURSHIP
GOVERNMENT PROGRAMMES &POLICIES FOR ENTRE PRENEURSHIP
astha117
 
Proposal sms-kampanye
Proposal sms-kampanyeProposal sms-kampanye
Proposal sms-kampanye
Polmantic
 
Arab Social Media Report (First Report 2015)
Arab Social Media Report (First Report 2015)Arab Social Media Report (First Report 2015)
Arab Social Media Report (First Report 2015)
Othmane Ghailane
 
Makki life of the prophet Muhammad (S.A.W)Makki life of the prophet
Makki life of the prophet Muhammad (S.A.W)Makki life of the prophetMakki life of the prophet Muhammad (S.A.W)Makki life of the prophet
Makki life of the prophet Muhammad (S.A.W)Makki life of the prophet
Saniya
 
X Box (Amateur)
X Box (Amateur)X Box (Amateur)
X Box (Amateur)
Shashank Raj
 
Ashley Sidney Autocue
Ashley Sidney AutocueAshley Sidney Autocue
Ashley Sidney Autocue
NatalieKidd04
 
Leitura obra "O Grito"
Leitura obra "O Grito"Leitura obra "O Grito"
Leitura obra "O Grito"
mila braga
 
Juegos y actividades de Educación Física para niños de 5 años
Juegos y actividades de Educación Física para niños de 5 años Juegos y actividades de Educación Física para niños de 5 años
Juegos y actividades de Educación Física para niños de 5 años
Exequiel Riquelme González
 
Codigo Morse
Codigo MorseCodigo Morse
Codigo Morse
JanyAA12
 

Viewers also liked (12)

Tcl
TclTcl
Tcl
 
TITRES À IMPACT SOCIAL (Social Impact Bons)
TITRES À IMPACT SOCIAL (Social Impact Bons)TITRES À IMPACT SOCIAL (Social Impact Bons)
TITRES À IMPACT SOCIAL (Social Impact Bons)
 
Salud del adolescente
Salud del adolescenteSalud del adolescente
Salud del adolescente
 
GOVERNMENT PROGRAMMES &POLICIES FOR ENTRE PRENEURSHIP
GOVERNMENT PROGRAMMES &POLICIES FOR ENTRE PRENEURSHIPGOVERNMENT PROGRAMMES &POLICIES FOR ENTRE PRENEURSHIP
GOVERNMENT PROGRAMMES &POLICIES FOR ENTRE PRENEURSHIP
 
Proposal sms-kampanye
Proposal sms-kampanyeProposal sms-kampanye
Proposal sms-kampanye
 
Arab Social Media Report (First Report 2015)
Arab Social Media Report (First Report 2015)Arab Social Media Report (First Report 2015)
Arab Social Media Report (First Report 2015)
 
Makki life of the prophet Muhammad (S.A.W)Makki life of the prophet
Makki life of the prophet Muhammad (S.A.W)Makki life of the prophetMakki life of the prophet Muhammad (S.A.W)Makki life of the prophet
Makki life of the prophet Muhammad (S.A.W)Makki life of the prophet
 
X Box (Amateur)
X Box (Amateur)X Box (Amateur)
X Box (Amateur)
 
Ashley Sidney Autocue
Ashley Sidney AutocueAshley Sidney Autocue
Ashley Sidney Autocue
 
Leitura obra "O Grito"
Leitura obra "O Grito"Leitura obra "O Grito"
Leitura obra "O Grito"
 
Juegos y actividades de Educación Física para niños de 5 años
Juegos y actividades de Educación Física para niños de 5 años Juegos y actividades de Educación Física para niños de 5 años
Juegos y actividades de Educación Física para niños de 5 años
 
Codigo Morse
Codigo MorseCodigo Morse
Codigo Morse
 

Similar to tgn15_regform_in

PharmaCon - Pharmaceutical Congress Asia 2014
PharmaCon - Pharmaceutical Congress Asia 2014 PharmaCon - Pharmaceutical Congress Asia 2014
PharmaCon - Pharmaceutical Congress Asia 2014
Rita Barry
 
8th Annual Gas Turbines
8th Annual Gas Turbines8th Annual Gas Turbines
8th Annual Gas Turbines
Kendria Tan
 
Scrubber Systems
Scrubber SystemsScrubber Systems
Scrubber Systems
June Tan
 
Geothermal Power Indonesia 2014
Geothermal Power Indonesia 2014Geothermal Power Indonesia 2014
Geothermal Power Indonesia 2014
Kendria Tan
 
Attachment
AttachmentAttachment
Attachment
Ederick Perilla
 
Attachment
AttachmentAttachment
Attachment
Ederick Perilla
 
Reflex Application Form Premium EN 2015
Reflex Application Form Premium EN 2015Reflex Application Form Premium EN 2015
Reflex Application Form Premium EN 2015
NURUL ILHAM
 
Booking Form
Booking FormBooking Form
Booking Form
Luxe China
 
Fundamentals of Laytime & Demurrage
Fundamentals of Laytime & DemurrageFundamentals of Laytime & Demurrage
Fundamentals of Laytime & Demurrage
June Tan
 
GST Enrolment/Migration of Existing Assessees: Are You Ready?
GST Enrolment/Migration of Existing Assessees: Are You Ready?GST Enrolment/Migration of Existing Assessees: Are You Ready?
GST Enrolment/Migration of Existing Assessees: Are You Ready?
Rajender Kapoor
 
Gst Registration India
Gst Registration IndiaGst Registration India
Gst Registration India
Estartupindia.com
 
Maturel Fields 2014
Maturel Fields 2014Maturel Fields 2014
Maturel Fields 2014
Kendria Tan
 
Guidance for GST Registration - Valueonshore Advisors
Guidance for GST Registration - Valueonshore AdvisorsGuidance for GST Registration - Valueonshore Advisors
Guidance for GST Registration - Valueonshore Advisors
Gopal Mitruka
 
GST Migration & Registration
GST Migration & RegistrationGST Migration & Registration
GST Migration & Registration
Kajal Bansal
 
ahmedabad.ppt
ahmedabad.pptahmedabad.ppt
ahmedabad.ppt
AnonymouscekPJylABo
 
ahmedabad.ppt
ahmedabad.pptahmedabad.ppt
ahmedabad.ppt
TheeBouyy
 
MyRepublic business service application (For Business in Singapore only)
MyRepublic business service application (For Business in Singapore only)MyRepublic business service application (For Business in Singapore only)
MyRepublic business service application (For Business in Singapore only)
atitrainer
 
1 accounts executive
1 accounts executive1 accounts executive
Cox & kings voice process
Cox & kings voice processCox & kings voice process
Cox & kings voice process
ritesh008
 
Enrolment of existing taxpayers under GST
Enrolment of existing taxpayers under GSTEnrolment of existing taxpayers under GST
Enrolment of existing taxpayers under GST
GST Law India
 

Similar to tgn15_regform_in (20)

PharmaCon - Pharmaceutical Congress Asia 2014
PharmaCon - Pharmaceutical Congress Asia 2014 PharmaCon - Pharmaceutical Congress Asia 2014
PharmaCon - Pharmaceutical Congress Asia 2014
 
8th Annual Gas Turbines
8th Annual Gas Turbines8th Annual Gas Turbines
8th Annual Gas Turbines
 
Scrubber Systems
Scrubber SystemsScrubber Systems
Scrubber Systems
 
Geothermal Power Indonesia 2014
Geothermal Power Indonesia 2014Geothermal Power Indonesia 2014
Geothermal Power Indonesia 2014
 
Attachment
AttachmentAttachment
Attachment
 
Attachment
AttachmentAttachment
Attachment
 
Reflex Application Form Premium EN 2015
Reflex Application Form Premium EN 2015Reflex Application Form Premium EN 2015
Reflex Application Form Premium EN 2015
 
Booking Form
Booking FormBooking Form
Booking Form
 
Fundamentals of Laytime & Demurrage
Fundamentals of Laytime & DemurrageFundamentals of Laytime & Demurrage
Fundamentals of Laytime & Demurrage
 
GST Enrolment/Migration of Existing Assessees: Are You Ready?
GST Enrolment/Migration of Existing Assessees: Are You Ready?GST Enrolment/Migration of Existing Assessees: Are You Ready?
GST Enrolment/Migration of Existing Assessees: Are You Ready?
 
Gst Registration India
Gst Registration IndiaGst Registration India
Gst Registration India
 
Maturel Fields 2014
Maturel Fields 2014Maturel Fields 2014
Maturel Fields 2014
 
Guidance for GST Registration - Valueonshore Advisors
Guidance for GST Registration - Valueonshore AdvisorsGuidance for GST Registration - Valueonshore Advisors
Guidance for GST Registration - Valueonshore Advisors
 
GST Migration & Registration
GST Migration & RegistrationGST Migration & Registration
GST Migration & Registration
 
ahmedabad.ppt
ahmedabad.pptahmedabad.ppt
ahmedabad.ppt
 
ahmedabad.ppt
ahmedabad.pptahmedabad.ppt
ahmedabad.ppt
 
MyRepublic business service application (For Business in Singapore only)
MyRepublic business service application (For Business in Singapore only)MyRepublic business service application (For Business in Singapore only)
MyRepublic business service application (For Business in Singapore only)
 
1 accounts executive
1 accounts executive1 accounts executive
1 accounts executive
 
Cox & kings voice process
Cox & kings voice processCox & kings voice process
Cox & kings voice process
 
Enrolment of existing taxpayers under GST
Enrolment of existing taxpayers under GSTEnrolment of existing taxpayers under GST
Enrolment of existing taxpayers under GST
 

More from rajeev kumar tiwari

IFC-Application-Form-20151617
IFC-Application-Form-20151617IFC-Application-Form-20151617
IFC-Application-Form-20151617
rajeev kumar tiwari
 
INPACT-20-Oct-2015
INPACT-20-Oct-2015INPACT-20-Oct-2015
INPACT-20-Oct-2015
rajeev kumar tiwari
 
Event
EventEvent
rajeev kumartiwari
rajeev kumartiwarirajeev kumartiwari
rajeev kumartiwari
rajeev kumar tiwari
 
brochure_seminar
brochure_seminarbrochure_seminar
brochure_seminar
rajeev kumar tiwari
 
25monday-market
25monday-market25monday-market
25monday-market
rajeev kumar tiwari
 
FIB8E7A24AAA67C424BBCC05325DAEAA8F2
FIB8E7A24AAA67C424BBCC05325DAEAA8F2FIB8E7A24AAA67C424BBCC05325DAEAA8F2
FIB8E7A24AAA67C424BBCC05325DAEAA8F2
rajeev kumar tiwari
 
FR083C77A1509C1C48439B642BC6908A6183
FR083C77A1509C1C48439B642BC6908A6183FR083C77A1509C1C48439B642BC6908A6183
FR083C77A1509C1C48439B642BC6908A6183
rajeev kumar tiwari
 
SPFIB08A57E6BFBD2E545D488962C43CF3A85B9
SPFIB08A57E6BFBD2E545D488962C43CF3A85B9SPFIB08A57E6BFBD2E545D488962C43CF3A85B9
SPFIB08A57E6BFBD2E545D488962C43CF3A85B9
rajeev kumar tiwari
 
Important Phone Numbers
Important Phone NumbersImportant Phone Numbers
Important Phone Numbers
rajeev kumar tiwari
 
NITI_CE
NITI_CENITI_CE
O-2196-1955-0003-100533
O-2196-1955-0003-100533O-2196-1955-0003-100533
O-2196-1955-0003-100533
rajeev kumar tiwari
 
E-2233-1954-0001-103507
E-2233-1954-0001-103507E-2233-1954-0001-103507
E-2233-1954-0001-103507
rajeev kumar tiwari
 
Format_ApplicationForm_1
Format_ApplicationForm_1Format_ApplicationForm_1
Format_ApplicationForm_1
rajeev kumar tiwari
 

More from rajeev kumar tiwari (20)

IFC-Application-Form-20151617
IFC-Application-Form-20151617IFC-Application-Form-20151617
IFC-Application-Form-20151617
 
VigWeek_191015
VigWeek_191015VigWeek_191015
VigWeek_191015
 
INPACT-20-Oct-2015
INPACT-20-Oct-2015INPACT-20-Oct-2015
INPACT-20-Oct-2015
 
Event
EventEvent
Event
 
Rajiv010915-1
Rajiv010915-1Rajiv010915-1
Rajiv010915-1
 
rajeev kumartiwari
rajeev kumartiwarirajeev kumartiwari
rajeev kumartiwari
 
brochure_seminar
brochure_seminarbrochure_seminar
brochure_seminar
 
25monday-market
25monday-market25monday-market
25monday-market
 
FIB8E7A24AAA67C424BBCC05325DAEAA8F2
FIB8E7A24AAA67C424BBCC05325DAEAA8F2FIB8E7A24AAA67C424BBCC05325DAEAA8F2
FIB8E7A24AAA67C424BBCC05325DAEAA8F2
 
FR083C77A1509C1C48439B642BC6908A6183
FR083C77A1509C1C48439B642BC6908A6183FR083C77A1509C1C48439B642BC6908A6183
FR083C77A1509C1C48439B642BC6908A6183
 
SPFIB08A57E6BFBD2E545D488962C43CF3A85B9
SPFIB08A57E6BFBD2E545D488962C43CF3A85B9SPFIB08A57E6BFBD2E545D488962C43CF3A85B9
SPFIB08A57E6BFBD2E545D488962C43CF3A85B9
 
Important Phone Numbers
Important Phone NumbersImportant Phone Numbers
Important Phone Numbers
 
RulesBharatRatna&PadmaAwards_0
RulesBharatRatna&PadmaAwards_0RulesBharatRatna&PadmaAwards_0
RulesBharatRatna&PadmaAwards_0
 
fictious_offer
fictious_offerfictious_offer
fictious_offer
 
facult feedback form
facult feedback formfacult feedback form
facult feedback form
 
NITI_CE
NITI_CENITI_CE
NITI_CE
 
O-2196-1955-0003-100533
O-2196-1955-0003-100533O-2196-1955-0003-100533
O-2196-1955-0003-100533
 
E-2233-1954-0001-103507
E-2233-1954-0001-103507E-2233-1954-0001-103507
E-2233-1954-0001-103507
 
Format_ApplicationForm_1
Format_ApplicationForm_1Format_ApplicationForm_1
Format_ApplicationForm_1
 
act
actact
act
 

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