· Web viewREGISTRATION FORM 3 rd Water Innovation Summit 2017 Economic Growth & Human Development...
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REGISTRATION FORM
3rd Water Innovation Summit 2017Economic Growth & Human Development
in the context of Water Scarcity&
National Water Awards for Excellence in Water Management4 - 5 September 2017: Hotel Lalit, New Delhi
10% discount if there are more than three delegates. Prior registration and pre-payment is MUST for participation. Delegate fee is non-refundable; however change in nomination is acceptable. Please use extra sheet(s) for more nominations.
The following official(s) will attend the Conference from our organization as delegate(s):
S.No. Name Designation Company Name Email Mobile1
2
3
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Our demand draft / cheque No. ____________ dated _______ for Rs. _________ drawn in favour of CII New Delhi is enclosed.
Name: ______________________________________________________________________________
Designation: _______________________ Organisation: ______________________________________
Address: ____________________________________________________________________________
Phone: _________________________________ Fax:___________________________________
Email: ______________________________________________________________________________
__________________________ For more details, contact:__________________________
Mr Vipin Varghese / Ms Preeti KathuriaConfederation of Indian Industry
CII - Triveni Water Institute Tel: 0124- 4234169/4309449/4014055
Email: [email protected] / [email protected]
A) REGISTRATION FOR DELEGATES
A) B) PARTICIPATION FEE DETAILS
C) WE WOULD LIKE TO EXHIBIT IN THE SUMMIT YES / NOIKE TO EXHIBIT
Category Delegates Fee GST (18%) Consolidate Delegate FeeCII Member 4000/- per delegate 720/- per delegate 4720/- per delegate
CII Non Member 4500/- per delegate 810/- per delegate 5310/- per delegate