/ Indian Statistical Institute, SQC & OR Unit, Bangalore
Statistical Techniques for Business Analytics(BA-03)
29 November-04December2016
Registration Form

Organization (Optional):

Contact Person:

Mailing Address:

E-mail: Phone:

Fax:Mobile:

Details of the participants attending the program:

Participant Name / e-mail & Mobile / Total Amount
1
2
3
4
  1. Sub Total of above

  1. ADD: Service tax + Swachh Bharat Cess (15% of (A) ):

  1. Total Amount Payable (A+ B) :

Payment Details:Amount:Rs.

DD/TransactionNo.: Date:___/___/2016, Bank/Branch:

  1. Registration forms will not be accepted without course fee.
  2. No request for refund of the course fee (fully or partially) will be entertained after commencement of the program.

Signature: Name:Date::___/___/2016

______

Send completed form with fees and attachments to :

Program Director:BA-03

SQC & OR Unit

Indian Statistical Institute

8th Mile, Mysore Road

Bangalore – 560 059,INDIA.

E-mail: ,

Terms and Conditions

  1. The course duration: 6 days : 29 November - 4 December 2016
  2. 100% attendance is mandatory
  3. Course fee per person:Rs.32,775/- (Rs.28,500+ Service Taxof15%)
  4. Online fund transfer details
  5. Name: Indian Statistical Institute
  6. Bank: UCO Bank, Kengeri Branch, Mysore Road, Bangalore
  7. Account No.:02970200000702
  8. IFSC code:UCBA0000297
  9. Type of Account: Current Account
  10. Income Tax Permanent A/c No.: AAAAI 0345 R

Service Tax Registration No.: S&T/B-III/Kengeri Dn./2/ISI/2001S.T.

Category: Scientific & Technical Consultancy Services

Service Tax RC Code: STC/AAAA I 0345RST003

  1. No refund of course fee will be entertained after commencement of the program.
  2. Participation is confirmed after receipt of
  3. Filled in application form
  4. Course fee in full (Cash, DD or online transfer)
  5. ISI will provide a receipt for the payment received after the start of the course. The same to be used as a proof of payment. ISI accounting system does not entertain any other form of documentation.
  6. The participant with 100% attendance will only be issued a program participation certificate at the end of the program.
  7. Any participant applied for the program is understood to have gone through and accepted these terms and conditions.
  8. Accommodation (a limited number) in twin-sharing basis can be availed as a first-come-first-served basis for the participants at the ISI guest house on extra payment basis. For accommodation in guest house, please contact [AK Tiwari (+91 98454 84356)] after Enrolment and mark a copy of the request to .

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