Bengaluru INDIA NANO 2024

Delegate Registration Form

Provide required information for registration

Select Industry Sector *

Number of Delegate(s) *

Nationality *

Indian

International

Student ID. *

Choose a file: *

Student ID format should be JPG, JPEG, or PDF only. File size should be less than 1MB. Please remember to carry your ID card while attending the event.

Select Day(s) *

Nov 18^th

Nov 20^th

Category	Standard		Students
	Regular Rate	Early Bird Offer upto August 03rd	Regular Rate	Early Bird Offer upto August 03rd
	INR	INR	INR	INR
Only Conference	8500	5000	3500	2500
Only Tutorial	3000	2000	1500	1000
Conference + Tutorial	10000	7000	4500	3000
Category	Regular Rate	Early Bird Offer Upto July 20th*
Conference + Tutorial	200 USD	150 USD
Note: - 18% GST Applicable - Group discount of 10% for 3 or more DELEGATES from same organisation

How do you know about Event *

Provide Organisation Information

Organisation Name *
(To create invoice in the name of)

City *

Country *

Phone Number *

+Country Code-Phone Number(xxx-xxxxxxx)

Do you need a GST based Invoice? *

Organisation Details for Raising the Invoice

Invoice Address *

Organisation GST Registration No *

Organisation Pan No *

State *

Contact Person Name *

Phone No *

Email Address *

Enter text see in the image *

MEDZMT

By clicking on 'Continue' / 'Submit', I consent to receive emails from the organizer.

Delegates are requested to Bank Transfer the registration fees to the following account
Account Name :	MM ACTIV SCI TECH COMMUNICATIONS PVT. LTD.
Account Type :	Current Account
Account Number :	2827201001176
Bank Name :	Canara Bank K.S.F.C Complex Branch
DP Code No. :	2827
Bank Address :	No.1/1, KSFC Bhavan, Thimmaiah Road, Millers Tank Bed, Bangalore - 560 052, INDIA.
Bank IFSC Code :	CNRB0002827
Bank MICR Code :	560015137
Incase of payment through IMPS. IMPS Transaction ID along with Date of Payment to be sent to ramakrishna.mokkapati@mmactiv.com/srisha.accounts@mmactiv.com

Delegates are requested to Bank Transfer the registration fees to the following account
Account Name :	MM ACTIV SCI-TECH COMMUNICATIONS PVT.LTD.
Account Type :	Current Account
Account Number :	2827241000004
Bank Name :	Canara Bank K.S.F.C Complex Branch
DP Code No. :	2827
Bank Address :	No.1/1, KSFC Bhavan, Thimmaiah Road, Millers Tank Bed, Bangalore - 560 052, INDIA.
Bank SWIFT Code :	CNRBINBBLFD
Bank MICR Code :	560015137
Incase of payment through IMPS. IMPS Transaction ID along with Date of Payment to be sent to ramakrishna.mokkapati@mmactiv.com/srisha.accounts@mmactiv.com

Delegates are requested to Bank Transfer the registration fees to the following account
Account Name :	MM ACTIV SCI TECH COMMUNICATIONS PVT. LTD.
Account Type :	Current Account
Account Number :	2827201001176
Bank Name :	Canara Bank K.S.F.C Complex Branch
DP Code No. :	2827
Bank Address :	No.1/1, KSFC Bhavan, Thimmaiah Road, Millers Tank Bed, Bangalore - 560 052, INDIA.
Bank IFSC Code :	CNRB0002827
Bank MICR Code :	560015137
Incase of payment through IMPS. IMPS Transaction ID along with Date of Payment to be sent to ramakrishna.mokkapati@mmactiv.com/srisha.accounts@mmactiv.com

Delegates are requested to Bank Transfer the registration fees to the following account
Account Name :	MM ACTIV SCI-TECH COMMUNICATIONS PVT.LTD.
Account Type :	Current Account
Account Number :	2827241000004
Bank Name :	Canara Bank K.S.F.C Complex Branch
DP Code No. :	2827
Bank Address :	No.1/1, KSFC Bhavan, Thimmaiah Road, Millers Tank Bed, Bangalore - 560 052, INDIA.
Bank SWIFT Code :	CNRBINBBLFD
Bank MICR Code :	560015137
Incase of payment through IMPS. IMPS Transaction ID along with Date of Payment to be sent to ramakrishna.mokkapati@mmactiv.com/srisha.accounts@mmactiv.com

Delegates are requested to Bank Transfer the registration fees to the following account
Account Name :	MM ACTIV SCI TECH COMMUNICATIONS PVT. LTD.
Account Type :	Current Account
Account Number :	2827201001176
Bank Name :	Canara Bank K.S.F.C Complex Branch
DP Code No. :	2827
Bank Address :	No.1/1, KSFC Bhavan, Thimmaiah Road, Millers Tank Bed, Bangalore - 560 052, INDIA.
Bank IFSC Code :	CNRB0002827
Bank MICR Code :	560015137
Incase of payment through IMPS. IMPS Transaction ID along with Date of Payment to be sent to ramakrishna.mokkapati@mmactiv.com/srisha.accounts@mmactiv.com