Delegate Registration Form by liwenting

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									                                                           Conference
                                                               on
                        ‘IOR-EOR: Challenges, Process & Technologies’
                                    April 15-16, 2010 Le Meridien, New Delhi

                                            DELEGATE REGISTRATION FORM
Delegates Details: All fields are Mandatory
(Please attach your business card, print or type clearly the following information)
 Organisation Name

Address

                                                                                          Pin Code:

                                Country:                         Contact No:              Fax No:

 Full Name                      Job Title                        Email Id                 Mobile Number




For registration and group booking please contact:
O. P. Thukral Email: petrofed@petrofed.org Mobile. +91-98103 07207 Tel.: 011-26535284
The speakers presentations and photographs of the conference will be posted on our website www.petrofed.org within 10 days
after the event.


PAYMENT DETAILS:
Our DD/Cheque No ........................................ for Rs. ................ in favour of ……………………………………………

Drawn on (Date and Banks Name) ................................................


For online booking log on to the following link: www.petrofed.org



Name                                                                                                Date & Signature


Terms and Conditions:
1. If you are unable to attend you can nominate an alternative delegate from a company at no extra cost.
2. No refund will be issued if a registrant fails to attend the conference.

Contact Details:
Kindly send fax or mail in the duly filled registration form along with registration fees to the contact details
below:
O. P. Thukral
Jt. Director (Planning)
Petroleum Federation of India
PHD House, Third Floor, 4/2, Siri Institutional Area, August Kranti Marg, New Delhi 110 016
Tel: 91-11-26535284, Fax : 91-11-26964840 | Mob.+91-98103 07207 | Email: petrofed@petrofed.org

								
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