Online Delegate Registration

I/ We would like to register/send the following person/s as delegate to the conference under the following category:

Name of persons attending Conference Designation Email Id Mobile Number Remove

Select One Option Fee in INR Rate after 10% early bird discount 12.36% Service tax Net Payable
One person of private companies Rs.7000.00 Rs.6300.00 Rs.778.68
Two persons of private companies Rs.13500.00 Rs.12150.00 Rs.1501.74
Three persons of private companies Rs.18000.00 Rs.16200.00 Rs.2002.32
For government/ Partners organisation Rs.4300.00 - Rs.531.00
For overseas per Person $200    
Avail 10% early bird discount by registering before 28th October 2016 (only for Pvt companies)

Terms & Conditions:-
  1. Registration form should be duly filled & signed with the company stamp by the authorized person and to be sent along with delegate registration fee. Admission to the conference cannot be ensured unless the EPC World Media Pvt. Ltd. receives the completed registration form and payments.
  2. In case delegate is not able to attend due to some reason, she/he may send the substitute to attend the conference. The delegate should be informed of the change well in advance to organiser.
  3. In case of cancellation, delegate fee would be refunded as per the following details: *Refund of 50% of the delegate fee if cancellation request is received one week before the conference date.
   I have read all terms and conditions above