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I am filling the nomination form for
Self
On behalf of
Details of the organisation
Nominating Institution
*
Contact Person
*
Title
Mr.
Mrs.
Ms.
Dr.
Prof.
Shri.
Smt.
Contact Person Email Id
*
Contact Person Phone
*
(Country Code-STD Code-Phone Number e.g. 0091-22-XXXXXXXX)
Contact Person Mobile
GSTN State
*
Select
Maharashtra
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
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Himachal Pradesh
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Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Andaman And Nicobar Islands
Chandigarh
Dadara Nagar Haveli
Daman And Diu
Delhi
Lakshadweep
GSTIN Number
*
GSTIN Address
*
Details of the participant
Name
*
Title
Mr.
Mrs.
Ms.
Dr.
Prof.
Shri.
Smt.
Designation
Email Id
*
Phone
*
(Country Code-STD Code-Phone Number e.g. 0091-22-XXXXXXXX)
Mobile (WhatsApp Number)
*
Payment Mode
*
Select
DD
Cash
RTGS
NEFT
Cheque
Name of the Institute
Country
*
Select
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahrain
Bangladesh
Belarus
Belgium
Belize
Bolivia
Bosnia and Herzegovina
Brazil
Brunei Darussalam
Bulgaria
Canada
Caribbean
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Hungary
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Indonesia
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Israel
Italy
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Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Latvia
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Libya
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Lithuania
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Macao S.A.R.
Macedonia (FYROM)
Malaysia
Maldives
Malta
Mexico
Mongolia
Morocco
Netherlands
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Romania
Russia
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Serbia
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Slovakia
Slovenia
South Africa
Spain
Sweden
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Syria
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Trinidad and Tobago
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Turkey
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
Yemen
Zimbabwe
City
*
Postal Code
*
i) Fees – Rs.
ii)Service tax(12%)(ST) Rs.—
iii)Edu Cess (2%) Rs. –
iv)H Ed Cess (1%) Rs. –
Verification Code (Case Sensitive)
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Program Conditions
Program fee is payable before the program - as the seats are limited banks may file their nominations at the earliest.
Nomination may be cancelled upto
five days
before the program.
Nomination once accepted cannot be cancelled but suitable replacement is allowed.
Program fee will not be refunded if the nomination is cancelled within
five days
of the program.
CAFRAL reserves the right to reject the nomination without assigning any reason.
Contact Details