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Online Registration
Courier your crossed DD / Cheque - Payable in Chennai , drawn in favour of
“Executive Recruiters Association” to :
Mr. Paul Tangirrala,
ERA Chennai Chapter Convener,
CEO, Iconium Consulting Group India Pvt. Ltd.

Iconium Consulting Group India Pvt. Ltd.
90, kamdar Nagar IIIrd Street, Mahalingapuram,
Nungambakkam, Chennai - 600 034


Company Details ( * - Required)
Company Name *
Delegate Type
Address 1 (Line 1)
Address 2 (Line 2)
Address 3 (Line 3)
City *
Membership No. * (In case you are availing special Association Members price)

Delegate Details
Name Email Tel No

Details of person filling form
Full Name *
Designation *
Email *
Telephone No *
Mobile No

Payment Details
Cheque/DD No.
Dated
Drawn on
Amount

(Press Submit only once)

Per participant (Rs.) 1 - 2 3 & Above
Corporates 1,750 1,500
Recruitment Consultants - Non ERA Members 1,750 1,500
Members of NIPM, MMA, Madras chamber of commerce 1,500 1,250
* a) Rates given are for each Delegate
  b) Service Tax is not applicable
  c) Registration for the event has to be made by filling and submitting the Online Form.
  d) In case you are availing special Association Members price, please quote your Membership No.
Courier your crossed DD / Cheque - Payable in Chennai , drawn in favour of
“Executive Recruiters Association” to :
Mr. Paul Tangirrala,
ERA Chennai Chapter Convener,
CEO, Iconium Consulting Group India Pvt. Ltd.

Iconium Consulting Group India Pvt. Ltd.
90, kamdar Nagar IIIrd Street, Mahalingapuram,
Nungambakkam, Chennai - 600 034