DELEGATE REGISTRATION FORM DELEGATE DETAILS

DELEGATE REGISTRATION FORM
(Please read notes below, before filling and dispatching the Registration Form)
DELEGATE DETAILS
Title*
Desig.
Phone (Off)
Phone (Res)
First Name*
*City
*Mobile#
COMPANY DETAILS
Company
Address
PAYMENT DETAILS
Last Name*
*Country
*email
Contact
All payments towards the ‘Delegate Registration Fee’ may please be made by Cheque/Bank Transfer/Cash
payment to the account of the beneficiery “KUWAIT ENGINEERS FORUM”,
Account No. 0235775315100414011 with The Commercial Bank of Kuwait, Salmiya Branch, Kuwait. (IBAN:
KW11COMB0000235775315100414011 )
*Cheque No.
*Bank
HOW TO REGISTER
*Amount
*Date
Filled up registration forms shall be sent to one of the following email addresses. The original form along with
the payment shall be handed over to our authorized member who will contact you in person within 24 hours.
Email addresses:
kefconference@kefkuwait.org OR paret999@gmail.com OR skpullarcot@yahoo.co.in OR ajithaps@gmail.com
IMPORTANT NOTES
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The fields marked with * are mandatory.
Registration cannot be processed without receiving payment of the Conference Registration fee of USD
100 or KWD 30.
One registration form is required for one delegate. However, Companies sending more than three
delegates may fillup only one form attached with a list of personnel with the above delegate details.
No refund will be made for cancellation, however substitute delegates are allowed.
Delegate Kit contains Certificate of participation, Conference proceedings in flash drive, KINETIC 2014
Journal and Satchel. Lunch and refreshments also will be provided for the Delegates.
Any clarifications shall be addressed to Mr. G. Unnikrishnan,, Convener-Technical Committee, at email
address ukrishnan77@yahoo.com or at mobile number +96599524785.