| Title |
|
|
| First name* |
|
| Last Name* |
|
| Designation* |
|
| Department* |
|
| Organization* |
|
| Address* |
|
| City* |
|
| State |
|
| Country* |
|
| Postal code |
|
| Fax |
|
| E-mail* |
|
| Telephone* |
|
For overseas participants |
| Name (as mentioned in
the passport) |
|
| Father's/Husband name |
|
| Passport No. |
|
Date and
place of Issue |
|
| Valid up to |
|
Date and
place of birth |
|
| Citizenship |
|
|
| Came to know from |
DSDS brochure
TERI web site
Financial Times
Google
Others
|
| Where did you hear about
DSDS? |
|
| |
|
| Registration
package for DSDS 2008
(inclusive
of refreshments, lunch, and conference documentation)
|
*
For student registration, a certificate from the Head/Registrar/Director
indicating studentship at the institution would be required.
Note If sending more than one delegate, please
fill personal details separately.
|
| Registration
package for CEO Forum 2008 (for Corporates only)
(inclusive of refreshments, lunch, and conference documentation)
|
Please send
me more information on
Support opportunities
Publications related to DSDS
Hotel accommodation |
| Mode of payment* |
Bank transfer
Local cheque
Demand draft
Credit card |
 |