17th FICCI Higher Education Summit
17-19 November 2022

Registration Form
10% early bird discount on registration fee till 15th September, 2022


Registration Category (Fee per delegate)

We would like to participate in the conference as a (check whichever is applicable):

Indian Delegate      
Overseas Delegate       
Sponsor      
 
Are you Member of FICCI

Corporate      
Associate       
Non Member       
Membership Number

Name in Full* 
Designation* 
Mobile*  
Email*  
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Organisation * 
Mailing Address *  Max 50 characters allowed
Country * 
State / UT * 
State should be same as used for GSTN
City * 
Pin/Zip/Postal Code * 
Do you have a registered GSTN
Please provide GST No. (If Applicable) Provided GSTN should be issued at same state as selected above.
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