14th FICCI HIGHER EDUCATION SUMMIT 2018
A Global Conference & Exhibition

REGISTRATION FORM

Profile ( * ) Asterisks Mandatory
* Name
* Designation
* Name of the Company
  Mailing Address
  Country
  State (for Indian Delegates)
* City
* Do you have a registered GSTN  Yes      No  
If Yes, Provided GST No. should be issued at given mailing address for invoicing purpose.
* Telephone/Mobile number
  Fax No
* Email ID

Registration Details
Indian Delegate
Participation Details : Per delegate fee for up to 3 delegates from same organization (in INR, plus GST) Per delegate fee if 4 or more delegates from same organization (in INR, plus GST)
Non FICCI Members Rs. 12,000 per Delegate Rs. 10,200 per Delegate
FICCI Corporate Members (25% discount) (please provide membership number) Rs. 9,000 per Delegate Rs. 7,650 per Delegate
FICCI Associate Members (15% discount) (please provide membership number) Rs. 10,200 per Delegate Rs. 8,400 per Delegate
Overseas Delegate     Sponsor (please specify category)

Per delegate fee for up to 3 delegates from same organization (USD) - 700 per delegate

Per delegate fee if 4 or more delegate from same organization attend (USD) - 595 per delegate

Delegate Details: (please fill the details below clearly)

Payment Details *
Payment Mode:
Demand Draft/Cheque NEFT SWIFT Online
Details



Payment Breakup:

Participants can make payments through SWIFT/NEFT/Cheque or Demand Draft in favour of ‘FICCI’, payable at New Delhi.
SWIFT

Bank Name: YES Bank
A/C No: 013694600000041
Swift Code: YESBINBBXXX
A/C Type: Saving

NEFT/IFSC/RTGS

Bank Name: Yes Bank
A/C No: 013694600000041
NEFT/IFSC/RTGS Code: YESB0000136
A/C Type: Saving

Cheque/DD

Cheque/DD to be sent to:
Ms Priyanka Upreti
Assistant Director –Education
FICCI
Federation House, Tansen Marg
New Delhi- 110001


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