JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
REGISTRATION FORM
Event Date: January 9th-10th, 2023
Event Address: Hotel Le-Royal meridian, Chennai
Contact us @ 044-24953915
Mobile: 9444019296
Email: mds_1981@yahoo.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name Mr/Ms:
*
Your answer
Father / Husband Name:
*
Your answer
Passport Name :
*
Your answer
Job Title :
*
Your answer
Institution :
*
Your answer
Nationality :
Your answer
Address :
*
Your answer
Telephone No :
Your answer
Mobile No :
*
Your answer
Fax No :
Your answer
Email ID :
*
Your answer
Registration Fees (INDIA) :
Individual (Rs.10,000/-)
Business / Professional Leaders (Rs.50,000/-)
Institutional (Rs.1,00,000/-)
Registration Fees (Overseas) :
Individual (USD 125)
Business / Professional Leaders (USD 600)
Institutional (USD 1,200)
Mode of Payment :
*
Cheque / Demand Draft ( Drawn in Favour of "World Tamils Economic Foundation" at Chennai)
UPI Payment (UPI ID : rajasam1981@oksbi)
NET BANKING
Required
Demand Draft No :
Your answer
Bank Name :
Your answer
Branch :
Your answer
For Rs/USD
Your answer
Further Enquiry
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms