Registation Form

Registration Form

“A Business Plan Competition -empowering thoughts.”

Organised by Entrepreneurship Development Center, USMS, The Synthesis Group.

Date: Saturday, 19^th January, 2013

Venue: Seminar Hall, Administrative Block.

Guru Gobind Singh Indraprastha University,

Sector 16 C Dwarka Delhi 110075.

Name of the Participants:………………………………………………………………………….

Number of Participants: …………………………………………………………………………..

Designation: ………………………………………………………………………………………

Organisation/Institution name: ……………………………………………………………………

Mailing Address: ………………………………………………………………………………….

………………………………………………….………………………………………………….

Tel No…………………………………….…..Mobile……………..…………….……………….

E-mail Address: ……………………………….………………………………………………….

Payment Details: DD No. …………………… Date:…….…………… Amount:……………..…

Drawn on Bank Name:……………………………………………………………………………..

Note: Fee is payable by DD in favour of ‘Registrar, Guru Gobind Singh Indraprastha University’

payable at Delhi. Please write your name and telephone number at the back of the demand draft. (Kindly fill separate form for each delegate)                                                 

                                                                                                                      

                                                                                                                        (Signature)

Please send this form duly filled and signed with the draft to:

Prof. Sanjiv Mittal, (Phn No.: 9899812268)                                                 Student Coordinator

Coordinator, Entrepreneurship Develpoment Center,                                        Sachin Bansal                 

University School of Management Studies, D Block, Dwarka,                   (The Synthesis Group)  

Sector 16 C, GGS Indraprastha University, Delhi-110075.                               

Note: (In case of more delegates, Registration form can be photocopied)