Registration for workshop on 'Securing the Digital India' - 28th July 2018 at Anna University, Chennai

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Digital Security Association of India organises a full day workshop on Saturday, 28th July 2018 at Anna University from 9.30 am to 5 PM on "Securing the Digital India'. Those who want to participate, may register their name here and send the remittance to the account of Digital Security Association of India through Cash Remittance/ NEFT /IMPS / DD, etc.

Registration fees per participant is
(i) Rs.700/- for members of Cyber Society of India, Computer Society of India, IEEE, ISACA, Bar Council, HCC etc.
(ii) Rs.500/- for bonafide students of reputed educational institutions and
(iii) Rs.900/- for others.
Fees includes lunch, tea and coffee with snacks.

After the registration process and getting the confirmation, the fees may be brought to the venue by way of DD/Bankers cheque drawn in favour of "Digital Security Association of India". Fees may be paid in cash at the venue, ONLY AFTER the process of registration here and getting the confirmation. .

Name of the Bank : Karur Vysya Bank Ltd
IFSC Number : KVBL0001614
Account Number :1614115000003256

Email *

Name *

Place

Chennai

Other:

Clear selection

Occupation *

Banker

IT Professional

Self employed

Student

Other:

Required

Landline Number (with STD code)

Mobile Number 1 *

Mobile Number 2 (if available)

E Mail id *

Are you a member of any of the following organisations? If so, Membership No is to be provided in the next question. (Applicable for those availing concession for the participation and CPE Certificates)

ISACA

IEEE

CSI

CySI

Student

Others (Specify)

Other:

If you are a member of any one or more the above organisations, please specify the Membership Number/s (If more than one organisation specify the name of the organisation in bracket after the number)

How are you making the payment? *

I have remitted the registration fee to Bank account. I am sending details with reference number, date of remittance and name of remitter to your mobile 9444073849.

I am bringing DD / Bankers Cheque to the venue. I am sending details to your mobile 9444073849 now.

I will contact you for guidance over mobile 9444073849

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms