FICCI’s 19th Annual Insurance Conference– #FINCON2018

“India Insurance – The Next Wave of Growth and Efficiency”

08:30 Hrs Friday, 19th January, 2018: ITC Grand Central, Parel, Mumbai

Date: January 19, 2018

Venue: Hotel ITC Grand Central, Parel, Mumbai

Time of Registration: 8:30 a.m. onwards

REGISTRATION FORM

Delegate Fee* (Per Delegate)

FICCI Corporate Members / INR 3500 +18% (GST)
FICCI Associate Members / INR 4000 +18% (GST)
Non- Members / INR 4500 +18% (GST)
Academia / INR 2000 +18% (GST)

Note: There is a group discount of 10% for 3 or more participants from the same organization.

Please fill in the following details to register for FINCON 2018 (please write ‘Yes’ against whichever is applicable)

FICCI Member ( ) Non FICCI Member ( )

Our DD/Cheque No...... dated...... for Rs……………….………. drawn on ...... in favour of “FICCI”, payable at New Delhi is enclosed.

Delegate Details

Name / Designation / E-mail / Mobile No

Point of Contact ......

Organization ......

GST No. - ...... Address......

......

City ...... Pincode ...... E-mail...... ………………………………………………….

Phone No ...... ………. Fax No . . . . . …………..

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Note:

·  Please note that the delegate fee includes the conference kit, study material and lunch

·  It does not include the air fare, hotel stay or any other incidental expenses

·  Refund Policy: No amount will be refunded, only change in nomination is possible.

Kindly email/send in duly filled in Registration Form to:

Ms Beena Mulani / Ms Deboshree Deysarkar/ Mr Rohit Silswal

FICCI, Federation House, 1, Tansen Marg, New Delhi 110 001

Tel: +91-11-2348 7279/ 2348 7562 / 23487369

Email:

Fund Transfer Details

Account Name: Federation of Indian Chambers of Commerce and Industry (FICCI)

Bank Account Number: 013694600000041

IFSC/NEFT Code: YESB0000136

Name of Bank: Yes Bank Limited

Branch Address: 56, Janpath, Connaught Place,

New Delhi - 110001

MICR Code: 110532031

Account Type: Saving A/c

FICCI Delhi GST Registered No. 07AAACF1282E1Z1

Refund Policy: Request received in writing on or before 15th December 2017 will be considered for cancellation. A 30 per cent handling charge will be deducted from the total amount deposited towards the delegate fee and the rest refunded by cheque. No amount will be refunded after 15th December 2017. Also transfer of fee for any other event is not allowed