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PLANNERS CONFERENCE
‘SDGs in the Context of Covid-19’
26 – 28 February, 2021
Novotel, Visakhapatnam
Submarine Museum
6. Category of Registration
Date:
Signature
REGISTRATION FORM Participants physically attending the
Conference to note that during the
FOR PARTICIPATING PHYSICALLY
Conference it is mandatory to follow the
1. Name of the Participant Covid - 19 norms prescribed by all
(Ms./Smt./Shri):___________________________
concerned Authorities.
_______________________________________
Registration Fee
2. Official Designation: _______________________
_________________________________________ For Participating Physically
Ÿ Sponsored : Rs. 5000/-
3. Mobile Number and E-mail ID ________________
Ÿ Non-sponsored : Rs. 3000/-
_________________________________________
Ÿ ITPI Member : Rs. 2000/-
4. Name of the Organization with Address: Ÿ For each accompanying family member add
_________________________________________ Rs. 1000/-
_________________________________________ For Online Participation
_________________________________________ Ÿ Sponsored : Rs. 500/-
Ÿ Non-sponsored : Rs. 250/-
5. Accompanying Persons (family members -spouse
Ÿ ITPI Member : Nil
or dependent children only): Adults __________
Ÿ Cheques and drafts only will be accepted
Children _________________________________
with Registration Form. For spot registration
6. Registration Number (in case of ITPI Member): either cash or draft only will be accepted.
_________________________________________ Ÿ Registration fee once paid will not be
refunded.
7. Category of Registration:____________________ Ÿ Outstation Cheques should include bank
• Sponsored : Rs. 5000/- charges of Rs. 50.
• Non-sponsored : Rs. 3000/-
Co-Sponsors
• ITPI Member : Rs. 2000/-
• For each accompanying family member add Ÿ State Government: Rs. 10,00,000/-
Rs. 1000/-
Ÿ Semi - Government & Corporates :
Rs. 20,000,00/-
8. Mode of Payment of Delegation fee online only:
Ÿ Private Sector: Rs. 15,00,000/-
Amount Rs. ___________________________
Ÿ Commercial Presentation (10 minutes)
Rs. 1,00,000/-
Date: Signature Ÿ Exhibition Stall 10 × 10 feet Rs. 1,00,000/-
Organized by PROGRAM