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Registration form
REgistration type
Day 1 - Manufacturing - Rs 7,000 per delegate (10.3% Service Tax extra)
Day 2 - Service - Rs 7,000 per delegate (10.3% Service Tax extra)
Day 1 & 2 - Both - Rs 10,000 per delegate (10.3% Service Tax extra)
10% discount for 5+ delegates from the same business unit
If you are an Examiner or a Presenter, please log into your account to register.
Nominating Authority * Mandatory fields
Title*
Name*
Designation*
Company*
Site / Unit
Address*
City* Pin*
STD Code* Desk Phone*
Mobile*
Official Email*
Personal Email
Nominations
1. Registratrion*
Title*
Name*
Designation*
Site / Unit
Address*   same as above
City* Pin*
STD Code* Desk Phone*
Mobile*
Official Email*
Personal Email
2. Registration
Title
Name
Designation
Site / Unit
Address   same as above
City Pin
STD Code Desk Phone
Mobile
Official Email
Personal Email
3. Registration
Title
Name
Designation
Site / Unit
Address   same as above
City Pin
STD Code Desk Phone
Mobile
Official Email
Personal Email
4. Registration
Title
Name
Designation
Site / Unit
Address   same as above
City Pin
STD Code Desk Phone
Mobile
Official Email
Personal Email
5. Registration
Title
Name
Designation
Site / Unit
Address   same as above
City Pin
STD Code Desk Phone
Mobile
Official Email
Personal Email
Total Amount Due:
   I have read and agree to comply with the Substitution & Cancellation Policy
Accomodation in Mumbai - Qimpro Convention 2011
Important message
Since Service Tax is now due on accrual basis, the original invoice will be generated after payment is received and will be sent along with your receipt. If you require the original to process payment, please send us an email requesting for the same.
substitution & cancellation policy
Cancellations
Prior to 29 August - no cancellation fee (email required)
Between 29 August & 4 September - 25% of the registration fee
Between 5 & 11 September - 50% of the registration fee
Between 12 & 18 September – 75% of the registration fee
After 18 September and no-shows - 100% of the registration fee
Substitutions can be made at any time (email required)
payment options
Cheque / Draft in favour of
"Qimpro Consultants Pvt. Ltd."
Online at http://payment.qimpro.com (please quote your proforma invoice number under order details)
NEFT - Please request for ICICI Bank details