EventReg GAEOS

							                                          PARTICIPANT FORM

        (Please duly complete the form and email the same to girish@knowledgeworksindia.com
                       Cheques to be couriered to our address mentioned below)


Program name                  Workshop on 'Cloud Computing using Open Source':: Details


Dates                                                  20th Aug 2010


Duration &
                                                 1 Day [ 9:30am to 5:30pm]
Timings:

                                         KnowledgeWorks IT Consulting Pvt. Ltd.,
                                            197, E-5, 2nd Floor, 8th 'B' Main,
Venue :
                                            27th Cross, Jayanagar 3rd Block,
                                                  Bangalore - 560011,
Fee Details:

        Rs. 4,500.00 + 10.3% Service Tax for per participant (includes Lunch, Tea /Coffee/Cookies.)
                            Subject to availability of seats. Terms & Conditions

                               Registration is first come first serve basis.

        Participant name                             Email Id                        Contact Number




Sponsor :
Address
Phone & email



                   Enclosed please find Rs. (Rupees only) in CASH / Cheque** No: ________________
                   dated ___________ on ________________Bank.
Payment            (cheques on the name of ‘M/s. KnowledgeWorks IT Consulting Pvt. Ltd., Bangalore )
details            Address :
                              nd       th          th                  rd
                   197, E–5, 2 Floor, 8 B Main, 27 Cross, Jayanagar 3 Block, Bangalore – 560011
                        Phone : +91 80 26630622, 22459941 / 9901133600 [Mrs. Jayashree Sharma]




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