Page 7 - TERI LIC Brochure
P. 7
Registration Form
Professional Development Programme (PDP) 2015
Managerial Core Competency Development
17-19 February, 2015
TERI, New Delhi
Participant’s name
(Ms/Mr/Dr/)............................................................................................................................
Designation............................................................................................................................
Name of the Institute...............................................................................................................
Address...................................................................................................................................
................................................................................................................................................
City........................................................................State..........................................................
Telephone..............................................................Fax...........................................................
E-mail.....................................................................................................................................
Please send the duly filled in registration form with Cheque /Demand Draft of Rs 2000/-
in favour of “The Energy and Resources Institute,” payable at New Delhi OR through
Netbanking:
Name of the A/c Holder The Energy and Resources Institute
Account Number 5008021009
Name of the Bank Citibank
Full address of the Bank Jeevan Bharti Building, 4th Floor, 124 Connaught
Circus, Connaught Place, New Delhi – 110001
Swift Code CITIINBX
Branch Code 0002
9 Digit MICR Code 110037002
IFSC Code for RTGS/NEFT mode CITI0000002
Please return the completed form by 30th January, 2015 to:
Mr Nihal Alam
Research Associate
Library and Information Centre, Knowledge Management Division
TERI, Darbari Seth Block, IHC Complex, Lodhi Road, New Delhi –110003
Tel: 2468 2141, 2468 2100 or 2468 2111 (extn) 2758
Fax: 2468 2144 or 2468 2145, Mobile: 91 93-11-305823
Email: nihal.alam@teri.res.in
Professional Development Programme (PDP) 2015
Managerial Core Competency Development
17-19 February, 2015
TERI, New Delhi
Participant’s name
(Ms/Mr/Dr/)............................................................................................................................
Designation............................................................................................................................
Name of the Institute...............................................................................................................
Address...................................................................................................................................
................................................................................................................................................
City........................................................................State..........................................................
Telephone..............................................................Fax...........................................................
E-mail.....................................................................................................................................
Please send the duly filled in registration form with Cheque /Demand Draft of Rs 2000/-
in favour of “The Energy and Resources Institute,” payable at New Delhi OR through
Netbanking:
Name of the A/c Holder The Energy and Resources Institute
Account Number 5008021009
Name of the Bank Citibank
Full address of the Bank Jeevan Bharti Building, 4th Floor, 124 Connaught
Circus, Connaught Place, New Delhi – 110001
Swift Code CITIINBX
Branch Code 0002
9 Digit MICR Code 110037002
IFSC Code for RTGS/NEFT mode CITI0000002
Please return the completed form by 30th January, 2015 to:
Mr Nihal Alam
Research Associate
Library and Information Centre, Knowledge Management Division
TERI, Darbari Seth Block, IHC Complex, Lodhi Road, New Delhi –110003
Tel: 2468 2141, 2468 2100 or 2468 2111 (extn) 2758
Fax: 2468 2144 or 2468 2145, Mobile: 91 93-11-305823
Email: nihal.alam@teri.res.in
