Online Registration Form

CyLawCom 2005

Workshop on April 22, 2005

At Hotel Leela Palace, Bangalore

 (Download, Complete and send by e-mail to naavi@vsnl.com along with payment)

Name

 

Postal Address

 

 

 

E-mail Address

 

Telephone Number

 

Mobile Number

 

Occupation

 

Name of Employer (If any)

 

Designation

 

Office Address

 

Office Telephone Number

 

Particulars of Participation Fee Paid*  (Cheque/DD, Number, Bank, Amount etc)

 

Signature

 

 

Date

 

* Participation fee of Rs 7500/- per delegate is payable by Cheque/DD on Bangalore favouring Wave Telenet Limited.

Check for Early Bird Discouts available upto April 1, 2005 and Group Discounts for Companies

Payment may also be made Online through Naavi's Payment Center

(Please select the required value of NPRs ie 75 NPR s of Rs 100 each or 7 NPR s of Rs 1000 and 5 NPT s of RS 100)