Delegates Students
Entry Fee Rs. 5000 Rs. 3000
Company Name
Contact No.
Payment Amount
Check No
Bank Name
The Cheque should be in favour of Adsert Web Solutions Pvt. Ltd., payable at New Delhi.

Please send the printed copy of your forms along with the cheque/dd of the registration amount to Pooja Sharma at
Adsert Web Solutions, Kailash Building, 12th Floor, Connaught Place, New Delhi 110001
Mobile: +91 9654647626, Phone: 011 23323184-187, Fax: 011 4151 0559

Please note that Registration will only be confirmed upon receipt of payment.
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