DELEGATE REGISTRATION FORM

1. Delegate Details

Title Name Designation Gender Contact No. Email


2. Company Details

Your planned attendance at the event: (please tick one)

3. Registration Fees

Registration Fees includes:

Full Meeting Access for Conference Sessions, Welcome Networking Dinner on 19th December, Gala Networking Dinner on 20th December, Lunches and Tea/Coffee on 20th and 21st December, 2021

For IEIA Members

Rs. 2,500/-

Members of EEMA, ICPB & IESA

Rs. 3,000/-

For Non Members

Rs. 3,500/-

Note: Plus GST @18%

4. Payment Link

https://www.ieia.in/pay-online