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IconSWM 2018 Registration Form

Personal Title *
(Dr., Prof, Mr., Mrs., Ms., Engr., etc )
:
 
First / Personal & second Name(s) * :
 
Surname/Family Name(s) * :
 
Position
(Professor, Associate / Assistance, Student, Director , Deputy Director, Commissioner , Chairman / President , Environment Engineer , Councilor, Managers etc.)
:
 
Organization/University/Company/ Municipality/ Ulb Name * :
 
Postal Address 1st Line :
 
Postal Address 2nd Line :
 
Postal Address 3rd Line :
 
City :
 
State/Province :
 
Postal Code :
 
Country * :
 
Email Address * :
     
If You have send paper,Please maintion Abstract / FullPaper :
     

For Indian, kindly refer to the INR value

For delegates from foreign countries, kindly refer to the USD value

Registration Fee *+18% GST (ISWMAW : GSTIN No. 19AAAAI5186J1ZB)    
Delegate from Industry / Service Sectors / State and Central Govt. Dept. / PSUs. : INR 12000
Delegate from Educational Institute (Teachers) / R&D Institute / ULB / Municipality / City Council / Municipal Corporation / Panchayat / NGO : INR 8000
Research Scholars / Masters & PhD Students. : INR 2500
 
 
Please check any of the following optional items you wish to purchase:
 
Proceedings additional
(One Conference Proceedings CD is included with the Registration Fee)
: Printed Proceedings:INR 2500
Additional CD: INR 250
 
To attend the SWM facility & city tour at 25th November 2018 : One person: INR 500
Two people: INR 1000
Three people: INR 1250
Six People: INR 2500
   
Please sum and indicate the total amount of your purchases :
     
Please indicate your preferred method of payment, an invoice will be emailed to you shortly * : Bank Draft in favour of : "ISWMAW" to be send to the Icon SWM Secretariat address at Kolkata or Bengaluru, India( Full Address is Available In The Brochure)

Credit Card (Visa or Mastercard)

Bank Transfer (A/c Name: “ISWMAW” , A/c No. : 0980101026506; Bank : Canara Bank, Jadavpur, S.C Mullick Road, Kolkata 700032, IFSC CODE : CNRB0000980 ; SWIFT Code : CNRBINBBCFD)
     
If you have any additional comments, food requests or other special requests, please list them here :
     
   
 
For Online Payment, please use below company service.
Click here to Registration via eRegNow.com Pvt. Ltd.

For any problem in online regitration , please contact Registration Coordinator :
Ms. Ritu Jain : 0091 22 40223751

 
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