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ONLINE REGISTRATION FORM
21st World Congress on Environment Management and Climate Change-2019

& also Presentation of Golden Peacock Awards
04 - 05 July 2019, at Hotel J W Marriott, in Bengaluru (India)

I am interested in participating in the “21st World Congress on Environment Management and Climate Change 2019 Online Registration Form” program as a  
♦ Personal Information

Title         First Name         Last Name    
Designation         Company Name         
Company Email       Company Address    
Postal Code         Mobile No.       GST No.  
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 70 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. Corporate Delegates 200* 12,000*
2. NGO 150* 10,000*
* (Above Rates are exclusive of 18% GST, as applicable)
Enter the fee in INR()
Method of Payment Cheque Bank Transfer Credit Card
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  Type the Number you see in the box above
I have read & accepted the Terms & Conditions as on the website   

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If you want to pay the registration fee online kindly fill the form first..

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