EW ECE National Conference 2017-18
January 20, 2018
Shangri-La, Bangalore
Email address *
Note:
• Delegate fee of Rs. 5000/-(incl.of GST 18%) is applicable to all delegates who register for the conference and will get a certificate for the same. (ranked & non-ranked preschools)
• Early Bird offer 20% discount • Last date to register for Preschool Awards is 12th January, 2018 • Last date to register for conference is 18th January, 2018 • Preschools Ranked 1 -10 receive Trophy & certificate • Preschools Ranked 11-20 receive certificates only • Unregistered schools will not receive a trophy or certificate during the awards or later
School/Institute Name *
Your answer
School/Institute Locality Name *
Your answer
Head of School/Institute *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Pincode *
Your answer
Phone *
Your answer
Mobile *
Your answer
E-mail *
Your answer
If ranked, please choose category
Mention your preschool rank
No. of delegates attending the conference
Amount Payable: 5000(incl. of GST)per delegate (*Avail discount of 20% before Dec 15th)
Delegate Name 1:
Your answer
Designation
Your answer
Delegate Name 2:
Your answer
Designation
Your answer
Delegate Name 3:
Your answer
Designation
Your answer
Delegate Name 4:
Your answer
Designation
Your answer
Delegate Name 5:
Your answer
Designation
Your answer
Delegate Name 6:
Your answer
Designation
Your answer
Delegate Name 7:
Your answer
Designation
Your answer
Delegate Name 8:
Your answer
Designation
Your answer
Delegate Name 9:
Your answer
Designation
Your answer
Delegate Name 10:
Your answer
Designation
Your answer
Mode of Payment
Banking Details
Account Name: INNOVUS EDUSERVICES PRIVATE LIMITED Current Account No: 0268 02000002418 Bank: Indian Overseas Bank I F S C / RTGS Code: IOBA 0000268 Branch Name: Indian Overseas Bank, Residency Road, Bangalore
GST No: 29AACC12650M1ZB
Address to courier the cheque/DD
Education World
ECE Conference 2017-18
703-704,7th Floor, Devatha Plaza,
Residency Road, Bangalore 560025
Ph:080-41130033
For any registration queries, Contact:
Poonam Shah
Phone: +91 9731966373
Landline: 080 41130033
Email: poonam@educationworld.in

Tejas Pattni Hand Phone: +91 9022487997
Email: tejas@educationworld.in

A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms