Online Registration Form

REGISTRATION DETAILS


DELEGATE: Upto 15th May, 2017
Upto 30th June, 2017
2500/
3000/
PGT: Upto 15th May, 2017
Upto 30th June, 2017
1500/
2000/
UG STUDENTS: Upto 30th June, 2017 1000/
Co-delegate: 1000/
SPOT REGISTRATION: 4000/

Bank Detail:


A/c Name: ijhrmlp academic
Account Number: 1329104000027256
IDBI Bank, Beltola Branch, Guwahati, Assam
IFSC code: IBKL0001329

Select Categories:
DELEGATE   PGT   UG students   Co-delegate   Spot Registration
Name :
Age :
Gender :
Male Female
Designation :
Institution/Hospital :
Email :
Mobile :
Details of accompanying persons
1. Name :
Age :
Gender :
Male Female
2. Name :
Age :
Gender :
Male Female
3. Name :
Age :
Gender :
Male Female
3. Name :
Age :
Gender :
Male Female
5. Name :
Age :
Gender :
Male Female
Enter Payment Details Pay Later
Demand Draft Details -
DD No./Transaction Reference No.:
Date of Transaction:
Amount Rs :
Drawn on Bank:
 
Remarks :