COB 2011 Registration Form

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					                       TR / CR / Sq.Lg               First Name                    Middle Name                    Last Name

REGISTRATION DETAILS
                       RT / LC #                      0                            Area                            0

                       Spouse                                                      LC #
                       Address


                       City                                                        Pin
                       Mobile                                                      Email
                       Registration Charges                        Single 1               Couple                   `            2999.00
                                                             ` 2999.00               ` 5998.00
ACCOMODATION




                       Check in Date                       7/15/2011               Check out Date                        7/17/2011
                       Accomodation at either ITC Sonar Bangla / Taj Bengal                        #             Please check

                       Twin Share ` 3250/- per night                               Nights          0               `                   0
                       Couple ` 6500/- per night                                   Nights          0               `                   0
PAYMENT DETAILS




                       Total Amount for Registration and Accomodation                                              `            2999.00
                                                                                                       Please check Accomodation Details
                       Remmitance made by                 Cash               Cheque                    NEFT / RTGS                         2
                       Amount                                      Details                                Date
                       Drawn on                                                    Favouring "RTI COB 2011" payable Kolkata

                                                                         Arrival                                 Departure
                       Pickup / Drop Required?                   TRUE                                     TRUE
TRAVEL DETAILS




                        Flight No / Train Name &
                                    No
                                From / To City
                           Date (dd/mm) / Time
                                  (2400)


                         1.   Cancellation Policy: Registration is non cancellable nor refundable.
                         2.   Transfer of Registration: Registration is transferable upto 30th June 2011.
                         3.   Registration includes Dinner/Entertainment on 15th & 16th July 2011 as well as logistics
                         4.   Spot Registration will not guarantee any Accomodation.
TERMS & CONDITIONS




                         5.   Direct Deposit : A/C "RTI COB 2011" A/C NO. 401602010166821. "UNION BANK OF INDIA"
                              1/1 Camac Street, Kolkata - 700 016 - For RTGS / NEFT Transfers - IFSC : UBIN0540161.
                        6.    Accomodation shall be allocated at either of the hotels by the COB Team depending on availibility.
                        7.    Room Tarrif includes current taxes and breakfast. Any change in taxes would be payable seperately.
                        8.    Rooms are subject to availability on first come first serve basis
                        9.    Please arrange your room mate. Full tariff shall be levied even in case of single occupancy.
                       10.    Please settle all room extras including room service/laundry/mini bar etc. directly with the hotel.
                         Please fax or email the registration form & Pay-in slip / RTGS / NEFT Details to:
                         Tr.Yogesh Ajitsaria (RT 67), Registration Convenor, COB 2011 Round Table India
                         Email : regn@cob2011.com Fax : +91 33 22309807 Mobile : +91 9830069625
                         Please intimate any changes in your regn/travel/accomodation plans by email only.
                         It is important to carry a copy of all correspondence with you at the COB

                       RTI Convenor       Tr.Nitesh Agarwal (RT41)                 convenor@cob2011.com                +919830067955
                       LCI Convenor       Cr.Pinki Sinha (LC 3)                    convenor@cob2011.com                +919874288883
COB TEAM




                       LCI Convenor       Cr.Preeti Agarwal (LC 65)                convenor@cob2011.com                +919831252945
                       Registration       Tr.Yogesh Ajitsaria (RT 67)              regn@cob2011.com                    +919830069625
                       Database           Tr. Kushal Rungta (RT 106)               regn@cob2011.com                    +919830039358
                       Accomodation       Tr.Niraj Dhote (RT 4)                    stay@cob2011.com                    +919830057175
                       Treasurer          Tr.Neeraj Banka (RT67)                   info@cob2011.com                    +919830777004
                       Transport                                                   travel@cob2011.com


                       PLEASE EMAIL COMPLETED FORM TO regn@cob2011.com

				
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