set-1can be paid online to State Bank of India, Fortune Tower Branch, Bhubaneswar. A/c Name: Xavier...
Transcript of set-1can be paid online to State Bank of India, Fortune Tower Branch, Bhubaneswar. A/c Name: Xavier...
Four day Training ProgramOn R&R and CSR, Feb. 16 – 19, 2016
Registration Details
Registration Fee: The registration Fee of Rs. 5000 /- (Rupees Five Thousand Only)can be paid online to State Bank of India, Fortune Tower Branch, Bhubaneswar.A/c Name: Xavier Institute of Management PSRA, A/c No. 34916884919, IFSCCode - SBIN0004414
The printout of the fee paid can be sent along with the Registration Form. Alternativelythe fee can also be paid by issuing a demand draft in favor of Xavier Institute ofManagement PSRA, payable at Bhubaneswar.
The registration fee includes participation, reading materials, tea / snacks and lunch formaximum 20 participants.
The Last Date of Registration is January 30, 2015
For any other query or information please contact:
Ms. Sushila NayakCentre for Resettlement, Rehabilitation and Corporate Social Responsibility (CRRCSR)Room No 204, 2nd Floor, Administrative BuildingXavier Institute of ManagementXavier UniversityBhubaneswar, Odisha
Mobile- 9437018915Landline- 0674-6647894Email- [email protected]
Four day Training ProgramOn R&R and CSR, Feb. 16 – 19, 2016
Registration Form
Registration Information (Please write in Block Capital Letter)
Full Name: …………………………………………………………………………………
Designation: ……………………………………………………………………………….
University / Company Name:……………………………………………………………….
Type of Organization: Academic Corporate Govt. Dept. NGOs Others
Postal Address: ………………………………………………………………………………….
……………………………………………………………………………………………………
City ……………………..... State ……………………….. Pin Code ………………………..
Sex: Male Female Date of Birth:
Telephone ………………………………….. ( R ) ……………………………………………
E- Mail …………………………………………………………………………………………
I acknowledge that I want to register for the Inclusive India Forum 2016 on January 22, 2016.
Date: …………………… Signature: ………………………