Central Board of Irrigation & Power
Malcha Marg, Chanakyapuri, New Delhi 1100021
Phone no: 01126115984,26116567,24102437
E-mail: cbip@cbip.org
Website: www.cbip.org

(Recognized as category-1 training Institute for providing training in the field of Hydro, Thermal, Transmission, Distribution and Power management Ministry of Power, Government of India)
Registration Form
(Programe Name)
All * fields are mandatory.( Please fill the Application carefully .)
Details of the Participants
Delegate Name*
Designation*
Organisation*
 E-Mail id
 Mobile/Phone No*

 Fax No

Postal Address For Communication*
Accompanying Person if any (Wife/Daughter/Son etc)
 Name
Passport No. Date & Place of Issue Arrival Date,Time & Flight no Departure Date,Time & Flight no
   
For International Participants additional details are required apart from the above information
Passport No. Date & Place of Issue Arrival Date,Time & Flight no Departure Date,Time & Flight no
   
   
   
Participating As (please tick in appropriate box)
Speaker/Author of Paper
Delegate
Invitee  
Mode of Payment  

Payment through :

 Banker's Cheque    OR
  		Bank Transfer.
 
Details of Banker's Cheque/Demand Draft :
Amount
Bank & Branch Name
Cheque/DD No. For Bank Details Click Here
        
Instruction : After you Submit your Form, Press CTRL+P and Save the Form as Pdf Format and Send this Form through Email at vishandutt@cbip.org