Conference Delegate Registration Form

Please tick :
Registration :
 NameDesignationE - MailMobile
1
2
3
4
5

Delegate Fee (in INR)

(Per Participant/including GST)

Category

Early Bird
(Payment by  or on 8 Feb 2019)

Standard

(Payment after 8 Feb 2019)

CII Member

3200

4000

Non-Member

4000

5000

Academic Institution

2500

3000

Note: 

* Delegate fee is non-refundable. * Change in nomination is accepted  * Prior registration is essential

* We would accept the nominations on first-come-first-served basis.

Our Cheque/DD drawn in favor of Tamil Nadu Technology Development and Promotion Centre payable at Chennai is enclosed.

Nominated by

You are requested to send your reply by email, post or fax to:

K Samuel Johnson

Tamil Nadu Technology Development and Promotion Center

Confederation of Indian Industry

98/1, Velachery Main Road, Chennai 600 032, India

Tel: +91-44- 42444555/ 530 (D)  Mob. 9840948053 Fax: +91-44- 42444510
Email: k.s.johnson@cii.in