Registration Procedure for obtaining GS1 Company Prefix by 3pWS7hv

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									                    Registration Form for attending GS1 India Workshop
Company details :

GS1 India Company Prefix No. *:

Name of Company *:

Correspondence address* :

Tel. Nos. with STD Code*
Fax No. -
E-mail :-
Participants details:
S No. Name*                          Designation*                 Contact No. *   E-mail:
    1.
    2.
    3.
    4.
Workshop details:
Sector*
Workshop location*
Workshop date*
Payment details: *

     Payment through electronic fund transfer (See note below)

     Payment by Cheque or Money Order (See note below)
DD/Ch. No.                 Date:                      Drawn on:                     Rs.

NEFT / UTR No              Date:                      Rs.




  (Name)                                     (Designation)                                  (Signature)


Please Note:
     At a time, only four employees can participate from the same company. If you wish to nominate more
       than four participants, please repeat the registration procedure.
     Submission of this form does not entitle you to attend the Workshop unless it is confirmed by GS1 India
       in writing.
     The fee is payable in advance
     The date & location opted above shall not be changed once confirmed.
     Fee paid shall not be refunded / adjusted.
     Demand draft/ cheques are payable in favour of ‘GS1 India’
     NEFT Fund Transfer Details
         Vijaya Bank,                               Corporation Bank,
         Bhikaji Cama Place Branch                  Bhikaji Cama Place Branch
         Current A/c No. 602000301000218            Current A/c No. CBCA 01000783
         In the name of GS1 India                   In the name of GS1 India
         NEFT Code: VIJB 0006020                    NEFT Code: CORP 0000373




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