60th Annual Convention Of Chemists 2023

Delegate Registration Form

Delegate Tariff
Participant	~~Regular~~	On-Spot Registration	Accompanying person (Spouse)
Industry Delegates	~~INR 7,000~~	INR 8,000	INR 5,000
Academic Delegates	~~INR 4,000~~	INR 5,000	INR 3,000
Students (PhD)	~~INR 3,000~~	INR 4,000	INR 2,000
Students (PG/B.Tech/UG)	~~INR 1,500~~	INR 2,000	INR 1,200
International (Commonwealth Chemistry)	~~USD $100~~	USD $150	USD $70
International (Others)	~~USD $200~~	USD $350	USD $100
Note: - 18% GST Applicable - Accompanying person (spouse) is not eligible to attend any conferences or technical sessions

Select Sector *

Select Delegate Type *

Are you a abstract presenter? *

Yes

Note:
1.) You must have received an email acknoledgement regarding the selection of your submitted abstract
2.) Only 1 Abstract per registration is allowed.

Please enter abstract number / Submission Id *

Do you have any accompanying person (Spouse) with you? *

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 *

ZA7V1B

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