DELEGATE REGISTRATION FORM

ASSOCHAM Series of

National Seminars on “SERVICE TAX”

Day& Date	Time	Participation Fee / Per Participant	Venue	√  Please Tick
Thursday, 30th January, 2014	09.30 - 16.30	Rs.4,000	Hotel Royal Plaza19, Ashoka roadNew Delhi-110001
Thursday, 6th February, 2014	09.30 - 16.30	Rs.4,000	Hotel Radha Regent 171, Jawaharlal Nehru SalaiArumbakkam, ChennaiTamil Nadu 600106
Thursday, 13th February, 2014	09.30 - 16.30	Rs.3,000	Hotel Park PlazaBlock No. 10, Sec. 17-AChandigarh-160017

 I / we would like to attend / nominate the following:

S. N.	Name	Designation	Mobile	Email
1.
2.
3.
4.

PARTICIPATION FEE:   The fee is inclusive of refreshment & lunch (10% discount for

two or more person from the same organization).

A DD/Cheque of Rs. _________ (No. __________ dated _________ drawn on __________ __________)

being participation fee in favour of “ASSOCHAM” payable at New Delhi, is enclosed.

ORGANISATION DETAILS

Company_______________________________________________________________________________

Address________________________________________________________________________________

_______________________________________________________________________________________

Telephone____________________________                   Fax____________________________             

ONLINE PAYMENT DETAIL (If required)

Bank Name & Address- State Bank of Hyderabad, 36, Elite House, Zamrudpur, Kailash Colony, New Delhi- 110 048, India.

Bank Current Account Number- 52050210412,

IFSC Code- SBHY0020588,

MICR Code- 110004007,

Branch Code- 20588,

REGISTRATION OPTIONS

By Post:	Tel No:	By Fax:	By Email:
Mr Akshat Agarwal Taxation Department ASSOCHAM5, Sardar Patel Marg, Chanakyapuri,New Delhi – 110 021	011-46550587 /607/598  M: +91 9873847923	011-23017008/9	[email protected]  [email protected]

Note: Prior Registration is essential. Please fax/courier/email the registration form at the earliest.

Service tax training: registration required with prescribed participation fee and payment options; discounts for multiple delegates apply. ASSOCHAM organises service tax seminars requiring prior registration and payment of a participation fee inclusive of refreshment and lunch, with a discount for two or more delegates from the same organisation. Payment is accepted by demand draft, cheque, or online transfer to the specified bank account; registrants must submit a completed form with delegate names, designations, contact details, and organisational information to the listed ASSOCHAM contact by post, fax, email, or courier.