TR / CR / Sq.Lg First Name Middle Name Last Name
RT / LC # 0 Area 0
Spouse LC #
Registration Charges Single 1 Couple ` 2999.00
` 2999.00 ` 5998.00
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
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
Pickup / Drop Required? TRUE TRUE
Flight No / Train Name &
From / To City
Date (dd/mm) / Time
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 : email@example.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) firstname.lastname@example.org +919830067955
LCI Convenor Cr.Pinki Sinha (LC 3) email@example.com +919874288883
LCI Convenor Cr.Preeti Agarwal (LC 65) firstname.lastname@example.org +919831252945
Registration Tr.Yogesh Ajitsaria (RT 67) email@example.com +919830069625
Database Tr. Kushal Rungta (RT 106) firstname.lastname@example.org +919830039358
Accomodation Tr.Niraj Dhote (RT 4) email@example.com +919830057175
Treasurer Tr.Neeraj Banka (RT67) firstname.lastname@example.org +919830777004
PLEASE EMAIL COMPLETED FORM TO email@example.com