VITS 2018 - Delegate Registration Form.pdf - Google Drive

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RTGS/NEFT IFSC No.: ICIC0000024. Micr Code : 380229002. GST No : 24AABCK6913A1Z3 Pan No. : AABCK6913A. USD REMITTANCE DE
Jointly Organized

Registration Form Delegate Category Gold Silver Students GESIA Registered IT Companies

Fees ` 10,000 ( USD 275 ) ` 5,000 ( USD 150 ) ` 2,500 ( USD 75 )

No. of Days 3 Days Including Lunch 3 Days 3 Days

` 8,000

‐‐‐

3 Days Including Lunch

Gold Silver Students

` 5,000 ` 2,500 ` 1,000

( USD 275 ) ( USD 150 ) ( USD 75 )

1 Days Including Lunch 1 Days 1 Days

Organizational Details Organization Name Address Telephone (O)

Telephone (M)

Email

Website Delegates Details

Name (Full)

Designation

Mobile Number

Email Id

Delegate Category

Please Send the Filled Registration form along with the cheque/NEFT/RTGS in favour of K AND D COMMUNICATION LTD : for detalis, please contact: Mr. Bhadresh Mistry Harmony Icon, 2nd Floor, Near Baghban Party Plot, Thaltej-Hebatpur Road, Thaltej, Ahmedabad-380059, Gujarat, India. Tel : +91 94260 12207 E-mail: [email protected] URL : www.vibrantitsummit.com

ELECTRONIC TRANSFER OF FUNDS USD REMITTANCE DETAILS INR Account: : Beneficiary Name Bank: ICICI Bank Ltd. : Beneficiary Account Number JMC House, Off C G Road, Ahmedabad – 380006. : Beneficiary Bank name & SWIFT CODE Account Name: K AND D COMMUNICATION LIMITED : Corresponding Foreign Bank Account No.: 002405022769 Corresponding Foreign bank SWIFT CODE : RTGS/NEFT IFSC No.: ICIC0000024 : Fed Wire Code ( ABA No. ) Micr Code : 380229002 Contact for ques Pan No. : AABCK6913A GST No : 24AABCK6913A1Z3

Note:

1.The registra on is on first-come-first-served basis and non-residen al. 2. Registra on fee is non-refundable. However change in nomina on is acceptable. 3.Pre-Registra on and advance payment is a must. GST @18% will be charged extra. 4.Please use photo copy of this form for more nomina ons

K AND D COMMUNICATION LIMITED

002405022769 ICICI BANK SWIFT CODE : ICICINBBCTS J P MORGAN CHASE BANK NEW YORK. CHASUS33XXX 21000021 ons regarding payment:

Account E-mail : [email protected]