ONE DAY TRAINING PROGRAMME ON “MODEL GST ACT, 2016” 22 JANUARY 2016, BANGALORE We are pleased to nominate the following participant(s) for the training program : - REPLY FORM S. No Name Designation Company Mobile E Mail ID 1 2 3 The DD / Cheque No. ______________________ for Rs ___________________ towards the delegate fee drawn in favour of “Confederation of Indian Industry”, payable at Chennai is enclosed. Participation Fee is Rs. 6,000/- Per participant Nominated By: Name Designation Organization Address : _____________________________________________________________________________ : _____________________________________________________________________________ : _____________________________________________________________________________ : _____________________________________________________________________________ _____________________________________________________________________________ City Tel Email Web : __________________________________ Pin Code: __________________________________ : __________________________________ Fax: ______________________________________ : _____________________________________________________________________________ : _____________________________________________________________________________ More than 3 participation form one company – 10% discount will be provided *The delegate fee is non-refundable, however change in nomination is accepted *The training program is non-residential *The delegate fee can be paid by a DD / Cheque in favour of “Confederation of Indian Industry” payable at Chennai *Any changes in the programme will be intimated only to the registered participants Complete the registration form and fax / email to: T Pramila Confederation of Indian Industry Unit “E”, 10th Floor, IIT Madras Research Park, Kanagam Road, Taramani, Chennai 600 113 Tel no. 044-42928908 Please Visit us at www.ciilogistics.com T.Pramila t.pramila@cii.in +91 8754494553