Online Registration Form - INDIAN Petrochem - 2021

1) Registration charges (inclusive of 18% GST):
  • INR 2360 for Domestic Residents
  • USD 59 for Overseas Residents
2) To register, please fill in the online registration form and click on Submit button to transmit the form.
Fields marked (*) are mandatory to provide.
3) The computer will acknowledge transmission.
Please press Back to return to the form.
4) For Credit Card payments we accept only Master, VISA & Diners Card.
Title :
Name * :
Surname * :
Address * :
City * :
Zipcode * :
Country * :
Position :
Company * :
GST IN :
Nature of Business :
Mobile * :
Tel * :
Email * :
Payment By * : Cheque Bank Transfer Credit Card
Currency * : Indian Rupees (INR 2360) US $ (USD 59)
I agree with Terms of Registration