Online Registration Form

REGISTRATION DETAILS


DELEGATE: Upto 20th Jan, 2018 Rs. 500/-
PGT: Upto 20th Jan, 2018 Rs. 400/-
UG STUDENTS: Upto 20th Jan, 2018 Rs. 200/-
SPOT REGISTRATION: From 21st- 27th Jan, 2018 Rs. 1000/-

Bank Details:


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

Select Categories:
DELEGATE   PGT   UG students   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 :

Kindly email your registration details at : ijhrmlpacademic@gmail.com
For online registration visit: www.ijhrmlp.org
Contact: +91 8638373805/9864096583/9435016507/9508071438