Program Date

No Delegate Name Designation Phone No Email Id

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1 Company Name
2 Address
3 City
4 Authorised Signatory
5 Mobile
6 Phone
7 Fax
8 Email Id
1 Amount in Figures
2 Amount in Words
3 Tick Payment Method
4 Cheque/DD/Transaction ID Number
5 Bank Name
6 Branch
7 City
1. Fee includes Tea/Snacks and Lunch on the day of Workshop.
2. The programs are non-residential and from 9:30 am to 5:30 pm.
3. The Seminar is subject to alterations/cancellations/changes etc. at the sole discretion of ASIA WEB MEDIA
4. All special offers are subject to alterations/cancellations/ changes etc. at the sole discretion of ASIA WEB MEDIA without any prior notice whatsoever.
5. There w ill be no refunds if the nominee cancels nomination.
6. In case the program is rescheduled, due to unforeseen / unavoidable reasons, participant s would be given an option of alternative date.
7. Nominations will be accepted on first come first serve basis.
8. Nomination Forms should reach us by courier and Telephonic intimation can be done at 011-41622939 or 09582242974
9. Nominations will be deemed to be complete only when the payment s have been received in full and realized by ASIA WEB MEDIA.
10. Please Confirm your presence over the email and Telephonic intimation can be done at 011-41622939 or 09582242974 , info@asiawebmedia.in
11. The confirmation Email will be sent to all the participant s that shall serve as Entry Pass to the seminar.
12. A certificate of participation will be given to all fully paid participants.
13. ASIA WEB MEDIA. reserves the right to close the number of nominations for a particular program.
14. All disputes are subject to DELHI Jurisdiction only.
15. Accommodation can be arranged on prior notification at the venue or a near by location( The cost of accommodation will be borne by the participant) .
Company Seal Authorised Signatory
PIN
Please Make All Payments in form of Demand Drafts: In favor of ASIA WEB MEDIA. Payable at NEW DELHI
Payments can be made by Cheque/Draft/Bank Transfer/Deposits in
HDFC Bank Account Name : ASIA WEB MEDIA
HDFC Bank- Account No: 03192000002180
IFSC Code HDFC0000319
Terms & Conditions
STD Code [ ] Number [ ]
STD Code [ ] Number [ ]
Payment Details
DD / CHEQUE / Bank Transfer / Cash Deposit
Mr./Ms.
FILL, PRINT and SEND Forms with Payments to
ASIA WEB MEDIA,
H-13, South Ex, Part-1, New delhi-110049
Email Form to info@asiawebmedia.in and Call 011-41622939 , 9582242974
Delegate Details
Workshop Name
Nomination
Form
City
Company Details