Registration

Delegation Fees for 3 days of teaching  Rs 15000/-

Note : Workshop fees includes breakfast & lunch.

'Name: ...................................................................................................

"Address: ...............................................................................................
..............................................................................................................
(Please attach your business card with this form)

Tel : (O)_______________®____________________
Mobile :____________________________________
Email :_____________________________________

I enclose DD / Cheque in favour of Vastu Tectonics Pvt. Ltd.
Registration Fees ?___________________________________
Outstation Cheque / DD should include Bank charges ? 50/- extra
Date:_____________________Sign:________________________
Cheque / DD No. / Cash :_________________________________
Fields marked with * are mandatory

Netbanking details:

Bank Name : SBI, East Street Branch
Bank Account Name : Vastu Tectonics P.Ltd.
Account No : 30652459968
RTGS/NEFT : IFSC: SBIN0003861

Venue : Prithwe institute,1 Middle Road, Off. Napier Road,Pune - 411001
Xerox copies of this form are acceptable.
The form is also available on website - www.prithwe.com

Prithwe institute,1 Middle Road, Off. Napier Road,Pune - 411001 prithwe@hotmail.com www.prithwe.com

IMPORTANT : PLEASE SAVE A COPY OF THE "TRANSACTION SUCCESFUL" EMAIL INCLUDING TRANSACTION ID NOUMBER, TO ENSURE WE CAN TALLY WITH THE SAME. THE ACCOUNT HOLDER OF THE ISSUING BANK MUST HAVE THE SAME NAME AS THE PERSON REGISTERING, OTHERWISE, TRANSACTIONS MAY NOT BE HONOURED