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Nomination Form
I am filling the nomination form for
Self
On behalf of
Details of the organisation
Nominating Institution
*
Please Enter your Nominating Institution
Contact Person
*
Title
Mr.
Mrs.
Ms.
Dr.
Prof.
Shri.
Smt.
Please select Salutation.
Please Enter the Name of the Contact Person
Contact Person Email Id
*
Email id is not valid.
Please Enter Email Id
Please Enter valid Email Id (abc@xyz.com)
Contact Person Phone
*
(Country Code-STD Code-Phone Number e.g. 0091-22-XXXXXXXX)
Please Enter Phone Number
Contact Person Mobile
Please Enter Mobile Number
GSTN State
Select
Maharashtra
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu And Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Telangana
Uttarakhand
Uttar Pradesh
West Bengal
Andaman And Nicobar Islands
Chandigarh
Dadara Nagar Haveli
Daman And Diu
Delhi
Lakshadweep
GSTIN Number
*
Please Enter GSTIN Number
Please Enter valid GSTIN Number
GSTIN Address
*
Please Enter GSTIN Address
Details of the participant
Name
*
Title
Mr.
Mrs.
Ms.
Dr.
Prof.
Shri.
Smt.
Please select Salutation.
Please Enter Name
Designation
*
Please Enter Designation
Email Id
*
Please Enter Email Id
Enter valid Email ID e.g. abc@xyz.com
Phone
*
(Country Code-STD Code-Phone Number e.g. 0091-22-XXXXXXXX)
Please Enter Phone Number
Mobile (WhatsApp Number)
*
Please Enter Mobile Number
Payment Mode
*
Select
DD
Cash
RTGS
NEFT
Cheque
Pay Mode
Address
*
Please Enter Address
Country
*
India
City
*
Please Enter City
Postal Code
*
Please Enter Postal Code
Please Enter No. of years in relevant topic
Please Enter Current Department
i) Fees – Rs.
ii)Service tax(12%)(ST) Rs.—
iii)Edu Cess (2%) Rs. –
iv)H Ed Cess (1%) Rs. –
Verification Code (Case Sensitive)
*
Enter Verification Code
Please Enter Valid Code.
Captcha validation is required.
Please wait while your nomination is being submitted...
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
