Delegate Registration

Fields marked with * are mandatory

Name*

E-mail*

Mobile*

Designation*

Legal Name of the Organization *

Billing Address *

City*

State*

Country*

Pincode*

Delegate Pass Category*

Number of Delegate/ Tables*

Amount*

GST(18%)*

Total Amount (including GST)*

PAN No.*

Do you want invoice on your company name?

Yes | No

Payment Mode*

Fees Structure

Note :
1. (*): Taxes as applicable.
2. All payments must be made at one go, either by credit/ debit cards, net-banking or cheque/ Demand Draft. (in favour of Adsert Web Solutions Private Limited and must reach our Delhi/NCR 3'rd Floor, D-40, Sector-2, Noida (Uttar Pradesh), Pincode - 201301
3. No refund applicable on cancellation.
4. All submissions to be addressed to 'Priyanka Singh and send on the following address: Adsert Web Solutions Pvt Ltd, 3'rd Floor, D-40, Sector-2, Noida (Uttar Pradesh), Pincode - 201301

Payment Instructions:

Bank Name : HDFC Bank
Beneficiary Bank A/c No. : 50200044400435
A/c type : Current
IFSC : HDFC0004398
Branch : Dwarka Sector-14, New Delhi-110075

No refund applicable on cancellation.

For any queries, Please contact:

Priyanka Singh, :+91-9810839486 | priyanka.singh@exchange4media.com