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9th February, 2018 Royal Orchid Bangalore Name Organization Business Address City Direct Phone/ Mobile # Fax Nature of Business Registration co-ordinator Contact Pin Office Phone Email Designation Email Country Designation (Please use additional sheets in case of multiple delegates and fill complete details including mail id) Seminar Fees: For Company: Signature of authorised person: Date: Note: Payment should be made in favor of “Thoughtshows & Events Pvt. Ltd.” Registration Type Delegate Fees Particulars Nos. Rate Total Amount Payment Details ( Cheque/ Cash ) No. of Delegates Mob: +91-09987961323 Email:[email protected] 1019/2 1st Main, 1st Cross, Geetanjali Layout, New Thippasandra, Bangalore -75. India 7 GSTIN: 29AACCT2398D1Z6 Individual Delegates Rs. 5000/- + GST Per Delegate AN OAC INITIATIVE TALKS H PRESENTS KARNATAKA POWERED BY

PRESENTS KARNATAKA TALKS H Royal Orchid Bangalore · Royal Orchid Bangalore Name Organization Business Address City Direct Phone/ Mobile # Fax Nature of Business Registration co-ordinator

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Page 1: PRESENTS KARNATAKA TALKS H Royal Orchid Bangalore · Royal Orchid Bangalore Name Organization Business Address City Direct Phone/ Mobile # Fax Nature of Business Registration co-ordinator

9th February, 2018Royal Orchid Bangalore

Name

Organization

Business Address

City

Direct Phone/ Mobile #

Fax

Nature of Business

Registration co-ordinator

Contact

Pin

Office Phone

Email

Designation

Email

Country

Designation

(Please use additional sheets in case of multiple delegates and fill complete details including mail id)

Seminar Fees:

For Company: Signature of authorised person:

Date:

Note: Payment should be made in favor of “Thoughtshows & Events Pvt. Ltd.”

Registration Type Delegate Fees

Particulars Nos. Rate Total Amount Payment Details ( Cheque/ Cash )

No. of Delegates

Mob: +91-09987961323 Email:[email protected]

1019/2 1st Main, 1st Cross, Geetanjali Layout, New Thippasandra, Bangalore -75. India

7

GSTIN: 29AACCT2398D1Z6

Individual Delegates Rs. 5000/- + GST Per Delegate

A N O A C I N I T I A T I V E TALKS H

P R E S E N T S

KARNATAKA

P O W E R E D B Y