DATE AND VENUE :
The Seminar will be held at Hotel Swosti Premium, Chandrasekharpur, Bhubaneswar during 21-22 February 2013.
[clock1]
 * marks are mandatory.

Contact Details

First Name : *
   
Surname  : *
   
Designation  : *
   
Name of Organisation  : *
   
Country  : *

State  : * 
     
District / City : * 
Address  : *
   
Pin No 
     
Mobile No 
     
Telephone No.  :
     
Fax  :
     
E-mail  : *
   
UserId  : *
   

Passport Details

   
Name Passport no. Issue Date Place Of Issue Valid Till Date

Arrival Details

Arrival at Bhubaneswar   Departure from Bhubaneswar
Date :

  Date :

Flight/Train No. :   Flight/Train No. :
Time :

  Time :

From City :   To City :
 
NB : (Your registration will be confirmed after receiving the Payment)