Workshop Registration

Workshop Name:

First Name:

Last Name:

E-mail:

Cell-No:(Format: xxxxxxxxxx)

Company Name:

Role:

Years of Experience:

Referred by (optional):

Amount Paid (Rupees):

Please Make your payments to: Current A/C Number 04921010002887 in the name of COMPEGENCE
IFSC / RTGS Code: SYNB0000492
Beneficiary Bank: Syndicate Bank, Doddakallasandra Branch, Bangalore
Provide the Transaction reference number with your bank / branch name

Workshop Fees: Rs 13500 + ST for Regn with Upfront Payment before June 6th (Rs 15169)

Select NEFT or Cheque or Invoice:

Fees Paid NEFT/Cheque No/PO No: Enter PO Number and Company Name in case of Invoice

Bank Name and Branch Name: Enter as "Invoice Payment" in case of Invoice

My City / Location:

My Address:





My Message (Optional):






**Fees include Lunch and Coffee for the workshop days.
**Workshop Venue is a South Bangalore Location, Confirmed Participants will be informed with info and directions.