Demystifying the Opportunities & Applications of Blockchain

19 July 2019: HICC, Hyderabad

Registration Form
I/We nominate/attend the following person(s) to attend this Conference:
S. No Name of the Participant Designation Email Contact No.

Registration fee can be paid via Cheque/DD/On-line Transfer:

The Cheque/DD No. for Rs. towards delegate fee
drawn in favor of “Confederation of Indian Industry” payable at Hyderabad is enclosed.

Name: Designation:
Company: CII Membership No.:
Address: GST No.:
Phone: Fax:
Email: Mobile:
Delegate Fee Details (Per Participant)

Category (Rs. Inclusive of all taxes) Notes:

Non-CII Members 2000/-  Delegate fee is non-refundable.
CII Members 1500/-  Change in nomination is accepted.
 Registrations are accepted on first come first served basis
Academia/Start-ups 1180/-

Bank Account Details

Account Name: Confederation of Indian Industry
Account Number: 000905024914 Account Type : Current Account GST No.: 36AAATC0188R2Z9
Bank Name : ICICI Bank Bank Address: Nungambakkam Branch, Chennai
IFSC Code: ICIC0000009 MICR No:- 600229003 SWIFT Code : ICICINBB009

You are requested to send your reply by email, post or fax to:
M Narender/Tapati
Confederation of Indian Industry – Telangana State Office
Plot no 7, Regal House, Motilal Nehru Nagar, Begumpet, Hyderabad, Telangana -16
Tel: 91 40 27765964 / 67 Fax: 91 40 27765836
Email: narender.m@cii.in; tapati.d@cii.in