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IIMB Utthan Summit 2019
10th November, 2019
REGISTRATION FORM
Name *
Contact Email *
Mobile Number *
College/University/Not for Profit/Corporate Name *

Number of Participants *
Participant Type
Students 199 (Summit Registration, Kit and 2 Tea will be provided)
Students 399 (Summit Registration, Kit, 2 Tea and Lunch will be provided)
Not for Profit/Corporates 699 (Includes All)

Note:
  1. a. Registration fees is non-refundable.
  2. b. Please bring a copy of the payment receipts on the registration day
  3. c. The above charges are only for the conclave (summit) and does not include travel and accommodation. Please make your own arrangements.


Amount inclusive of 18% GST (in INR) *

 
Name of the Bank *
  
DD/Wire Transfer Ref. *
 
Transfer Date *
 
Kindly ensure to record the DD/Wire transfer/cash deposit details in the form above for generation of e-receipt.
DD / Cheque should be in favour of "Indian Institute of Management Bangalore" payable at Bangalore and may please be sent to the following address:

Office Pan-IIM Conference
Indian Institute of Management Bangalore
Bannerghatta Road,
Bengaluru-560076, India.

Tel: +91 80 26993088
Email: office-paniimconference@iimb.ac.in
Beneficiary Customer Account (for INR remittances):

Bank Name :              State Bank of India
Branch Name :           IIM CAMPUS, BENGALURU
Branch Code :            40803
NEFT IFSC Code :     SBIN0040803
Account No :              54019812503
If you are making payment in foreign denominated currency (equivalent to the INR registration fee), Bank details are given below.

Details Euro USD Canadian Dollar GBP
Intermediary Institution Deutsche Bank
Frankfurt, Germany		 J P Morgan Chase Bank
New York		 Citi Bank
Toronto, Canada		 State Bank of India London, UK
Account No 95342151000 001-1-406063 2015736003 001-108421001
Swift Code DEUTDEFF CHASUS33 CITICATT SBINGB2L
 
It may take a few days for the generation of the e-receipt for your payment as it has to go through the verification process from the finance department of IIMB.
  
You will be taken to the Payment Gateway page for effecting online funds Transfer.
You can use Debit card/ Credit Card / Net Banking options. Payment will be in INR only.

Receipt for successful payment will be emailed to you subsequently. AMEX cards are
not accepted at the moment.
 
 

For any queries, please contact:

IIMB Utthan Summit Team
Indian Institute of Management Bangalore
Bannerghatta Road,
Bengaluru-560076, India.

Email: utthan@iimb.ac.in