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ONLINE REGISTRATION FORM
19th World Congress on Environment Management 2017
&
Presentation of Golden Peacock Awards 07 - 08 July 2017, Hyderabad, India

I am interested in participating in the “19th World Congress on Environment Management 2017”  program as a  Delegate / Speaker / Sponsor / Partner
I am interested in participating as a       
♦ Personal Information

Title         First Name         Last Name    
Designation         Company Name         
Company Address          Postal Code         
Mobile No          Office No          Personal Email    
Personal Address         Country    

♦ Travel & Visa
Name (as mentioned in the passport)          Passport No    
Valid Upto         Citizenship    

♦ IOD Membership
Are you a member of IOD, India          YesNo If Yes (Enter Membership no)           

♦ Registration Fee (non residential registration fee)* | Overseas Participants can convert US $ into INR || @ 1 US $ = Rs 68 and enter the amount) click to convert
Inclusive of Lunch, Dinner, Tea/Coffee, Refreshments and Literature of Conference etc
Categories International (US $) Indian (in Rs.)
1. Participation Fee (Per Participant) 200* 12,000*
2. NGO's / Students ** 150* 8,000*
* + 18% GST, as applicable
Enter the fee in INR()
Method of Payment Cheque Bank Transfer Credit Card
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