Full Name *First and Last name
Email id *
Mobile number *
Organization Affiliation *eg: Student- XYZ college
Field of interest *
How did you hear about the workshop? * VC mailing list NCL mailing list HelpBiotech Other
What are your expectations from this workshop? *
Select the appropriate fee crieteria * Students with valid ID card: Rs. 900/‐ Micro, small and medium enterprises/Individuals: Rs. 2,000/‐ Large companies: Rs. 4,000/‐ Note: Relevant documents are to be produced for the categories mentioned. Only once the documents are verified- a payment can be made.
Mode of payment * Online neft - payment to be made before 20 Jan 2016 Cash payment - payment to be made before 20 Jan 2016Unless payments are made, seats are not confirmed.