CEO Conclave
Leadership Summit






























Online Registration

Courier your crossed DD / Cheque - Payable in Mumbai , drawn in favour of
“Executive Recruiters Association” to :
Mr. Pramod Thilakan
Cell : +98200 01104
Email : pramod@era.org.in

Executive Recruiters Association
616, J K Chambers,
Plot No 76, Sector-17,
Vashi, Navi Mumbai - 400705

Company Details ( * - Required)
Company Name *
Delegate Type
Address 1 (Line 1)
Address 2 (Line 2)
Address 3 (Line 3)
City *

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 1 - 2 3 - 4 5 +
Corporates 4,000 3,600 3,200
ERA Members 2,500 2,500 2,500

* a) Rates given are for each Delegate
  b) Registration for the event has to be made by filling and submitting the Online Form.