Download Indian Delegate Form Contact Details Title (Prof., Dr. Mr. Ms): -- Select -- Mr. Mrs. Ms. Dr. Prof. First Name: Last Name: Company / University / Institution: Mailing Address: City: Country: India State: Pin Code: Tel: Mobile: Email: Website: Fax: Registration Details Category of Delegate: Delegate Fees In INR. General Delegate 4500 FRP Institute Member 3500 Become a new member of FRP Institute and get one free delegate pass for conference 0 Student Delegate** 2000 Note: Inclusive of 18% of GST Student delegate must enclose a certificate from the Head of Institution or from Head of Department stating that he/she is a bonafide student Fill-up Separate Forms for Individuals from Same Organization Registrations are non-transferable Payment Details: (Tick Appropriate Box and Provide Details) Payment is attached bank draft / At par Cheque in the name of "FRP Institute" Payable at Chennai, India as per following details: Bank draft No.: Date: Bank: Payment is done by Wire Transfer through bank, RTGS/NEFT details are: Account No.: 10565622775 Name of the Account: FRP Institute Swift Code: SBININBB227 IFSC Code: SBIN0004327 Account Type: Current Account Name of the Bank and Branch: State Bank of India, SME Branch, GST Road, Guindy, Chennai-600032, India Pay online (Credit Card / Debit Card / Net Banking) Mobile: +91 36063039 Email: conference@icerpshow.com Website: www.icerpshow.com
Download Indian Delegate Form
