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Online Registration
Spot Registrations also available by Cash or Cheque 
Courier your crossed DD/ Cheque - Payable in Mumbai, drawn in favour of
“Executive Recruiters Association” to :
Pramod Thilakan, Manager ERA
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 *
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
Spot Registrations also available by Cash or Cheque
(Press Submit only once)

Per participant (Rs.) 1 - 2 3 - 4 5 & Above
Corporates 2,750* 2,475* 2,200*
Members of NHRD, NIPM, BMA 2,250 2,000 1,850
ERA Members 1,500 1,500 1,500
* Rates given are for each Delegate


Courier your crossed DD / Cheque - Payable in Mumbai , drawn in favour of
“Executive Recruiters Association” to :
Pramod Thilakan, Manager ERA
Executive Recruiters Association
616, J K Chambers,
Plot No 76, Sector-17,
Vashi, Navi Mumbai - 400705