Online Humanising Registration

ASC Hyderabad

Language

Address *

E-mail *
Mobile / Phone *
Profession *
Years of Experience *
Educational Qualification
Interests & Area of Specialization
You are a *

Indian National Foreign National/NRI
Registration fee for five day Humanising Workshops: INR 13,000

Registration fee for international participants: 200 USD or its equivalent in other currencies.
When will you be arriving at the venue?
Date

- Month - Day Year
Date
Time

: Hour Minutes
When will you be leaving ?
Date

- Month - Day Year
Date
Time

: Hour Minutes
Accommodation *

Single occupancy Double occupancy Standard - Triple occupancy
Please note Single and Double occupancy will be extra as per actuals.
Choose your mode of payment *

Bank-to-Bank/Wire Transfer (National/International) Cash/Cheques Deposited in HDFC Bank Branches any where in India Cheque/DD posted to our address Swift Transfer or any other remittance
Cheque/DD No.
Amount
Bank Name
Date of Cheque/ DD

Day Month Year
Please note: If you are a Teacher/Parent participant, the following workshop options need to be chosen.
Workshop 1 (10:45 AM - 12:15 PM)
First Preference
Second Preference
Third Preference
Workshop 2 (2.00 PM - 3:30 PM)
First Preference
Second Preference
Third Preference
Workshop 3 (4.00 PM - 5.30 PM)
First Preference
Second Preference
Third Preference
Should be Empty: