Registration Form

Name of the Company/Organization: *

Website:

GST No:( If not applicable type NA)

Billing Address: *

Country *

State: *

City: *

Billing Phone No. (State Code + Phone): *

Billing Email ID: *

Number of Delegate *

Delegate Type:

Details	Rate	Quatity	GST (18%)	Total (INR)
Package Fee	0	0	0	0

Beneficiary Name

IEEMA ELECRAMA

Beneficiary A/c no

50200037884185

Bank Name

HDFC BANK LTD

Branch

H-69 , Outer Circle,
Connaught Circus, Connaught Place New Delhi-110 001

IFSC Code

HDFC0000313

SWIFTCODE

HDFCINBBDEL

Transaction ID/ UTR No. *

Upload Screenshot Of Transaction Proof:

Transaction Detail(Please share all these transaction details: Name, Organization, Date of Payment). *

Declaration :- I hereby declare and confirm, that information given above by me, is correct to the best of my knowledge.