Registration

Title*

Full Name*

State Council Reg. No.:

Date of Birth (dd/MM/yyyy)

Age

Gender

Mobile No(+91)*

Email ID*

Designation*

Organization*

Address*

City*

State*

Country*

Pincode*

Important Registration Notes:

• All Rates Include 18% GST.

• Senior Citizen IPS Members (65 Years & Above) please upload/send age proof.

• Details marked with asterisks (*) are mandatory.

• If the delegate is an IPS member, kindly provide the membership number, otherwise, the registration will be considered as that of a non-IPS member.

• Complimentary only for Senior Citizen IPS members; not applicable for accompanying persons.