Geosmart India | Registration Form

Title (Eg: Mr, Mrs, Miss, Dr)

First Name*

Last Name*

Designation*

Email*

Organisation*

Domain Specialization*

Others please specify

Address*

City*

Postal / Zip*

State*

Country*

Phone (Office)*

Phone (Res)

Fax

Website

Note: The fields marked with (*) are compulsory to be filled.

I would like to attend

GeoSmart India Only Geointelligence Asia Only

GeoSmart India + Geointelligence Asia

Fee for Indian Delegates

Private Regular Delegate (INR 8000) Private Speaker Delegate (INR 8000) Goverment Delegate (INR 5000)

Goverment Speaker Delegate (INR 5000) Acadamic Regular Delegate (INR 3000) Acadamic Speaker Delegate (INR 3000)

Student Regular Delegate (INR 2000) Student Speaker Delegate (INR 2000)

Fee for Overseas Delegates

Private Regular Delegate (USD 300) Private Speaker Delegate (USD 300) Goverment Delegate (USD 200)

Goverment Speaker Delegate (USD 200) Acadamic Regular Delegate (USD 150) Acadamic Speaker Delegate (USD 150)

Student Regular Delegate (USD 150) Student Speaker Delegate (USD 150)

Fee for Indian Delegates

Private Regular Delegate (INR 8000) Private Speaker Delegate (INR 8000) Goverment Delegate (INR 5000)

Goverment Speaker Delegate (INR 5000) Acadamic Regular Delegate (INR 3000) Acadamic Speaker Delegate (INR 3000)

Fee for Overseas Delegates

Private Regular Delegate (USD 300) Private Speaker Delegate (USD 300) Goverment Delegate (USD 200)

Goverment Speaker Delegate (USD 200) Acadamic Regular Delegate (USD 150) Acadamic Speaker Delegate (USD 150)

Fee for Indian Delegates

Private Regular Delegate (INR 12000) Private Speaker Delegate (INR 12000) Goverment Delegate (INR 5000)

Goverment Speaker Delegate (INR 5000) Acadamic Regular Delegate (INR 4000) Acadamic Speaker Delegate (INR 4000)

Student Regular Delegate (INR 3000) Student Speaker Delegate (INR 3000)

Fee for Overseas Delegates

Private Regular Delegate (USD 300) Private Speaker Delegate (USD 300) Goverment Delegate (USD 200)

Goverment Speaker Delegate (USD 200) Acadamic Regular Delegate (USD 150) Acadamic Speaker Delegate (USD 150)

Student Regular Delegate (USD 100) Student Speaker Delegate (USD 100)

Note: Additional 14.5% Vat

Payment Mode *

Online Payment

Type this numbers in the box

Remarks

Important Note:

Students are requested to bring their Identity Card.
The delegates whose information will not be found authentic, his registration will be invalid.

For any registration related queries kindly contact Mohit mohit@geospatialmedia.net

Do you want to recieve an Invoice:

Yes No