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  • Registration form for vibration analysis workshop

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    JobyThomasIssac
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    This registration form requests the participant's official information including their company/institution name, the participant's name and designation. It also requests the products/services of their company. Contact information is requested such as the corresponding address, city, state, mobile number, and landline. The form outlines the participation fees before and after May 16th, noting payment can be made by cheque, DD, or NEFT. It provides the bank details and requests the filled form be emailed or posted to the provided address.

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    Reg

    Original Title

    Registration Form

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    This registration form requests the participant's official information including their company/institution name, the participant's name and designation. It also requests the products/services of their company. Contact information is requested such as the corresponding address, city, state, mobile number, and landline. The form outlines the participation fees before and after May 16th, noting payment can be made by cheque, DD, or NEFT. It provides the bank details and requests the filled form be emailed or posted to the provided address.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    25 views2 pages

    Registration form for vibration analysis workshop

    Uploaded by

    JobyThomasIssac
    This registration form requests the participant's official information including their company/institution name, the participant's name and designation. It also requests the products/services of their company. Contact information is requested such as the corresponding address, city, state, mobile number, and landline. The form outlines the participation fees before and after May 16th, noting payment can be made by cheque, DD, or NEFT. It provides the bank details and requests the filled form be emailed or posted to the provided address.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    REGISTRATION FORM

    Official Information:
    Company / Institution Name:
    __________________________________________________
    Name of Participant:
    ________________________________________________________
    Designation of Participant:
    ___________________________________________________
    Products / Services of your Company:
    ___________________________________________

    Contact Information:
    Corresponding Address:
    ___________________________________________________________________________
    _________________________________________________________________________Ci
    ty: ___________________________________ State: _____________________________
    Mobile: ________________________________ Landline:
    ___________________________
    PARTICIPATION FEE (per participant):
    5000 + S.T. =
    5725
    6000 + S.T. =
    LATE FEE - May 16th onwards
    6870
    Note: Payment can be done through Cheque / DD / NEFT.
    April 16th - May 15th 2016

    Bank Details:
    State Bank of India
    Name of A/c holder
    Type of Account
    Branch
    Account No
    Place
    Bank Code
    MICR Code

    : ProSIM R&D Pvt Ltd


    : CA
    : Rajajinagar Industrial Estate Branch
    : 30029502347
    : Bangalore 560044, Karnataka
    : 00762
    : 560002042

    ProSIM R&D Pvt. Ltd.


    #4, 1st B Main, 1st N Block, Rajajinagar, Bangalore 560010
    Phone: +91-80-23323020 / 41277793 | Web: www.pro-sim.com | Email:
    info@pro-sim.com

    IFSC Code

    : SBIN0000762

    KINDLY EMAIL THE FILLED FORM BACK TO vibration.analysis@pro-sim.com OR POST /


    COURIER US THE HARD COPY TO THE BELOW MENTIONED ADDRESS.

    ProSIM R&D Pvt. Ltd.


    #4, 1st B Main, 1st N Block, Rajajinagar, Bangalore 560010
    Phone: +91-80-23323020 / 41277793 | Web: www.pro-sim.com | Email:
    info@pro-sim.com

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