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Online Registration
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For Congress Bulletin Registration Form
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For Tunnel Exposition Booking Form
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For Hotel Accommodation & Tour Booking Form
REGISTRATION FORM
WORLD TUNNEL CONGRESS AND
34th GENERAL ASSEMBLY OF ITA - AITES
18-25 September, 2008, Agra, India
............................................................................................
Please fill the form and keep a photocopy of this form for your records. Please ensure that the information filled
by you is correct and send this form by fax or E-mail with payment to the Congress Secretariat at
Fax No.: +91-11-2611 6347 / E-mail: sunil@cbip.org; cbip@cbip.org. Registration for ITA WTC 2008 is also
available at the official website : http://www.wtc2008.org and the online registration is recommended.
DELEGATE
Title
Mr.
Ms.
Dr.
Prof.
Others(Please specify)
First Name
Last Name
Address
City
State
Country
Zip Code
Telephone
Fax
Email
ACCOMPANYING PERSON(S)
Title
First Name
Last Name
Mr
Ms
Dr.
Prof.
Mr.
Ms.
Dr.
Prof.
PASSPORT DETAILS(only for foreign delegates)
Please click on the check box to fill up Passport details
Name
Passport No.
Date Of Issue
Valid till date
Place of Issue
Nationality
ARRIVAL/DEPARTURE FLIGHT DETAILS
Y
N
Arrival Date
Time
Flight No.
From City
Departure Date
Time
Flight No.
To City
Categories
SAARC Countries
Non-SAARC Countries
Full Participants
INR 10,000
USD 900 per person
Accompanying Person
INR 4,000
USD 250 per person
Research Student
INR 5,000
USD 450 per person
MODE OF PAYMENT
Demand Draft / Bank Cheque : Please make a Demand Draft / Cheque (payable at par) at New Delhi in favour of “Central Board of Irrigation and Power”, payable at New Delhi and send it to the Congress Secretariat at the following address: Central Board of Irrigation & Power Plot No. 4, Institutional Area, Malcha Marg, Chanakyapuri, New Delhi 110 021, India
Bank Transfer :
Please write the name of participant when you remit registration fees and send to Congress Secretary a copy of bank statement.
Name Of Bank
ICICI Bank Limited
16/48, Malcha Marg Shopping Centre, Chanakyapuri, New Delhi 110 021
Ph. : +91-11-41680133 / 34 / 35
Account No.
034601000738
MICR Code No.
110229052
Swift Code
ICICINBBXXX
Beneficiary Name
Central Board of Irrigation and Power
Name Of Bank
Central Bank of India
Ashok Hotel, Chanakyapuri, New Delhi 110 021
Ph. : +91-11-2410 1848
Account No.
1021764318
MICR Code No.
110016007
Swift Code
CBININBBPAR
Beneficiary Name
Central Board of Irrigation and Power (International Conference A/c)
Credit Card : Only Visa and Master Card are accepted. Please fill out your credit card details on the registration form.
Please Select the Payment Mode
Current Conversion Rate Of USD
1 USD=45 INR (Approximate)
Credit Card Extra Amount (2.6% + service tax of 12.36% on the amount of 2.6%)
Demand Draft :
Bank Cheque :
Bank Transfer :
Credit Card :
Demand Draft / Bank Cheque Details :
Demand Draft / Bank Cheque No.:
Demand Draft / Bank Cheque Date:
Amount:
Unit :
--Select--
USD
INR
Bank Transfer Details :
Transfer To(Bank Name) :
--Select--
ICICI Bank Limited
Central Bank of India
Participant Name:
Amount :
Unit :
--Select--
USD
INR
By Which Bank :
Account No.:
I hereby confirm by my signature below that I have read and am fully aware of and accept the applicable conditions as stated
in the text, the cancellation conditions and the liability conditions stipulated at www.wtc2008.org. Remember to make a copy
of this form for your own records.
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