2nd WESTERN INDIA REGIONAL STUDENT CONFERENCE

Feb – 2010

NASIK OJHAR CHAPTER OF COST ACCOUNTANTS

DELEGATE REGISTRATION FORM

To,
The Secretary,
Nasik Ojhar Chapter of Cost Accountants

Dear Sir,

Please enroll myself for the 2nd WESTERN INDIA REGIONAL STUDENT CONFERENCE of ICWAI to be held on
13th Feb. 2010.

Name ____________________________________________________________________________
(Please attach the list of students and payment details separately for more than one)

Registration No. _________________________

Address ____________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

Phone No. ____________ Mob. No. ___________________

Email Id ____________________________________________________________________

Cheque/Draft No. _______________ Date: / /2010 Amount Rs. _______On _________________Bank

Drawn in Favour of “Nasik Ojhar Chapter of Cost Accountants” payable at Nashik

Thanking you,

Date __________ Yours Faithfully,

(Signature of Student)
Delegate Fees :

Foundation Inter Final Grad.CWA

Rs. 250/ Rs. 300/- Rs. 350/- Rs. 550/-

Participation for Campus Interview (Rs. 100/-)

Accommodation Facilities (Rs. 100/-)
______________________________________________________________________________________________
(For office use only)

Receipt No. Authorised Signature

Contact –
Mr. Avinash - +919011330164 Email – avinashamrutkar@yahoo.com
Ms. Manasi - +919422728432 Email – manasipataskar26@gmail.com

2nd Floor, Prasanna Arcade, Near Mazda Hotel, Old Agra Road, Nashik-422002 Ph. 0253 - 2509989,
2500150.
E-mail: nasik@icwai.org, nashik.pulse@gmail.com Website: www.nashikconference.webs.com