Indian Statistical Institute, SQC & OR Unit, Bangalore
Statistics for Data Exploration and Modeling (SDEM-01) 13 – 15 & 28 – 29 June 2014
Registration Form Organization
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Contact Person
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Mailing Address
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E-mail
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Phone:
Fax
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Mobile:
Details of the participants attending the program: e-mail & Mobile
Participant Name
Total Amount
1 2 3 4 A. Sub Total of above B. ADD: Service tax @ 12.36% C.
Total Amount Payable
(12.36% of (A) ): (A+ B) :
Payment Details: Amount :Rs. DD/Transaction No.:
Date:___/___/2014, Bank/Branch:
1. Registration forms will not be accepted without course fee. 2. No request for refund of the course fee (fully or partially) will be entertained after commencement of the program.
Signature : _____________________
Name: Date: :___/___/2014 ________________________________ _____ _
Send completed form with fees and attachments to :
Program Director: SDEM-01 SQC & OR Unit Indian Statistical Institute th 8 Mile, Mysore Road Bangalore – 560 059, INDIA.
E-mail:
[email protected];
[email protected];
[email protected]
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Terms and Conditions 1. The course duration: 5 days a. Phase -1 : 13 – 15 June 2014 (3 days) b. Phase -2: 28 – 29 June 2014 (2 days) 2. 100% attendance is mandatory 3. Course fee per person: Rs.25,000/- + Service Tax of 12.36% (Rs. 28090/-) 4. Online fund transfer details a. Name : Indian Statistical Institute b. Bank : UCO Bank, Kengeri Branch, Mysore Road, Bangalore c. Account No. : 02970200000702 d. IFSC code : UCBA0000297 e. Type of Account: Current Account 5. Income Tax Permanent A/c No. : AAAAI 0345 R Service Tax Registration No. : S&T/B-III/Kengeri Dn./2/ISI/2001S.T. Category : Scientific & Technical Consultancy Services Service Tax RC Code : STC/AAAA I 0345RST003 6. No refund of course fee will be entertained after commencement of the program. 7. Participation is confirmed after receipt of a. Filled in application form b. Course fee in full (Cash, DD or online transfer) 8. ISI will provide a receipt for the payment received after the start of the course. The same to be used as a proof of payment. ISI accounting system does not entertain any other form of documentation. 9. A participant will be issued a participation certificate at the end of the program. 10.Any participant applied for the program is understood to have gone through and accepted these terms and conditions.
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