Workshop on Energy Efficient Homes Venue: TERI Core 6C, India Habitat Centre, Lodhi Road, New Delhi-110 003 Date: 27th Nov, 2014 REGISTRATION FORM NAME (Mr. /Ms. /Dr.): Designation: COMPANY / ORGANISATION: ADDRESS: PHONE NUMBER: FAX NUMBER: Mobile: E-MAIL ADDRESS: Please email this completed form along with payment details to: [email protected] Hina Zia The Energy and Resources Institute A-260, Defence Colony, New Delhi - 110024 Page | 1 Fees for Workshop: Rs 1000/- (Inclusive of Service Tax) (Participants from PLIs, HFC, and Banks are exempted from paying the fees) TERI - PAN No : AAATT2841E TERI - Service Tax Regn. No : AAATT2841EST001 Demand Draft drawn in favour of The Energy and Resources Institute, New Delhi Details for Electronic Payment Name of the A/c Holder Account Number Name of the Bank Branch Name The Energy and Resources Institute 52142907894 State Bank of Hyderabad SCOPE Complex New Delhi – 3 Full address of the SCOPE Complex, Core – 67 bank Institutional Area, Pragati Vihar New Delhi – 110003 Telephone/Fax 011-24656721 01124656721 FREE NEFT IFSC Code SBHY0020511 RTGS IFSC Code SBHY0020511 9 Digit MICR Code 110004005 Please note the following If you choose electronic transfer for registration fees, kindly mention your name along with the following statement in the comments: Workshop on Energy Efficient Homes, Delhi Page | 2
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