Delegate Registration Form

Please fill out the following information to register as a delegate for the COMPASS CONCLAVE’ 25

      Company Details

    • Company Name*

    • Address*

    • City*

    • Pin Code*

    • GST No*

      • Delegate Information

    • Delegate Name*

    • Designation*

    • Email*

    • Mobile No*

    • Delegate Photo*

      File format: jpg / jpeg / png and maximum file size: 5 MB

      • Company Profile (100 words)

    • Briefly describe your company's background and core business activities:

      • Partnership Information

    • Are you an authorized dealer for any specific brand(s)? If yes, please specify

    • How long have you been in the industry as a dealer?

      • Photo ID (Passport, Aadhaar, Voter Id)*

    • File format: jpg / jpeg / png and maximum file size: 5 MB
      (for Voter ID & Aadhaar, both front & back required)

    • Registration Charges

      Rs. 6,000 + GST @ 18% (Early Bird till 22nd July’ 23 Rs. 5,000 + GST @ 18%)
      (Hotel Accommodation in 5 Star property included in twin sharing basis.)

    • Tshirt Size*

    • Payment

      Payment details are as under:
      Preferably, please make the payment through NEFT / Online Transfer and share the details at info@compassindia.com
      Alternatively, cheque may be issued in favour of ‘Computer Association of Eastern India’ which may either be deposited into the account and share details over email or sent to COMPASS office.

    • Account Details

      COMPUTER ASSOCIATION OF EASTERN INDIA
      Bank Name: HDFC Bank Ltd.
      IFSC Code : HDFC0000382
      A/c No.: 00081450000788
      Branch : G C Avenue Branch

    • Are you a COMPASS Member?*

    Note:

    Registration is by Invite only
    Limited Seats Available
    Meant for only IT Dealers (Proprietor / Partner / Director) – no family / friend is allowed.
    Hotel Check in : 2 PM , Check out : 11 AM.

    * Indicates mandatory field.