Registration Form - World PetroCoalworldpetrocoal.in/download/Delegate-Registartion-Form.pdf ·...
1
10th World PetroCoal Congress-2020 F1-F2, Pankaj Grand Plaza, CSC Complex Mayur Vihar - I, Delhi- 110091 Phone: +91-11-22757049, 22758149 Fax: +91-11-43019379 Website: www.worldpetrocoal.in Email: [email protected] Please Fax / Mail to : I / We would like to participate in the 10th World PetroCoal Congress & Expo-2020; kindly register the following: ORGANIZATION DETAILS : PAYMENT DETAILS : Name Designation Mobile E-mail Registration Form Name of Organisation Address Phone E-mail Fax Please tick the applicable category: Early Birds Discounts by (December 31, 2019) Standard Fees Delegates Authors Students Accompanying Spouse INR 20000 INR 18000 INR 6000 INR 6000 US$ 1000 US$ 900 US$ 400 US$ 400 National International Registrations will only be considered complete on realisation of fee. Please draw Cheque/Demand Draft in favour of “Energy And Environment Foundation” payable at New Delhi, India In case you wish to pay the fee electronically, please get below NEFT details: a) Full payment is to be made along with the submission of reply form. b) Fee once paid is transferable but not refundable. A/c No. : 629705015384 Bank Name : ICICI Bank, Mayur Vihar-I, Delhi-110091, India PAN NO. : AAATE4083H RTGS/NEFT/IFSC Code : ICIC0006297 Cheque / DD No. Dated Amount Signature ` US$ 1200 US$ 1000 US$ 500 US$ 500 INR 22000 INR 20000 INR 8000 INR 8000 National International
Transcript of Registration Form - World PetroCoalworldpetrocoal.in/download/Delegate-Registartion-Form.pdf ·...
10th World PetroCoal Congress-2020
F1-F2, Pankaj Grand Plaza, CSC ComplexMayur Vihar - I, Delhi- 110091
Phone: +91-11-22757049, 22758149
Fax: +91-11-43019379
Website: www.worldpetrocoal.inEmail: [email protected]
Please Fax / Mail to :
I / We would like to participate in the 10th World PetroCoal Congress & Expo-2020; kindly register the following:
ORGANIZATION DETAILS :
PAYMENT DETAILS :
Name Designation Mobile E-mail
Registration Form
Name of Organisation
Address
Phone
Fax
Please tick the applicable category: Early Birds Discounts by (December 31, 2019) Standard Fees
Delegates Authors Students Accompanying Spouse
INR 20000 INR 18000 INR 6000 INR 6000
US$ 1000 US$ 900 US$ 400 US$ 400
National International
Registrations will only be considered complete on realisation of fee. Please draw Cheque/Demand Draft in favour of “Energy And Environment Foundation” payable at New Delhi, India
In case you wish to pay the fee electronically, please get below NEFT details:
a) Full payment is to be made along with the submission of reply form. b) Fee once paid is transferable but not refundable.
A/c No. : 629705015384 Bank Name : ICICI Bank, Mayur Vihar-I, Delhi-110091, India PAN NO. : AAATE4083H RTGS/NEFT/IFSC Code : ICIC0006297
Cheque / DD No. Dated Amount
Signature
`
US$ 1200 US$ 1000 US$ 500 US$ 500
INR 22000 INR 20000 INR 8000 INR 8000
National International
