<p> REGISTRATION FORM</p><p>To Usha M Mob : + 91 88 8491 1164 TÜV Rheinland (India) Pvt. Ltd. Tel : + 91 80 67233528 82/A, 3rd Main, West Wing, Fax : + 91 80 30554342 Electronic City Phase 1 Email: [email protected] Hosur Road, Web : www.ind.tuv.com Bangalore - 560 100.</p><p>Lead Auditor Course on ISO 9001: 2015 Quality Management System (IRCA Registration No: A 17217) (I) Our organization will be represented by:</p><p>Sl. No Name Designation Mobile No. & E-mail ID</p><p>(II) Participation Fee  Delegate Fee is Rs. …………… (Rs 23,000/- only per Participant) + 14.5% Service tax  Early Bird Discount: Rs 3000 discount on delegate fee if registered with payment on / before 5th Feb 2016</p><p>(III) Please tick [  ] whichever applicable (M A N D A T O R Y)  The delegate fees of Rs...... vide cheque at par / DD No...... drawn in favour of TÜV Rheinland (India) Pvt. Ltd payable at Bangalore is enclosed Declaration:  I / We understand the registration policy of TÜV Rheinland (India) Pvt. Ltd. that cancellations are not accepted, however substitutions are permitted  I / We hereby undertake that payment towards the participation fee from our side will be sent to TÜV Rheinland (India) Pvt. Ltd. latest by ……………… upon the receipt of proforma invoice / original invoice / completing the vendor registration process. This is applicable even if any cancellation from our side due to any reasons  I have read and agree the general terms and conditions towards the registration</p><p>Nominating Authority: </p><p>Designation: </p><p>Company: </p><p>Address: </p><p>Tel: Fax: Email: </p><p>Signature: * Scanned copy of duly filled and signed Registration Form to be sent by return e-mail to TÜV Rheinland (India) Pvt. Ltd. </p><p>General Terms and Conditions of TÜV Rheinland (India) Pvt. Ltd. on registration: The above registration form constitutes a firm commitment to TÜV Rheinland (India) Pvt. Ltd. Cancellations of registrations / nomination(s) are not accepted. However, changes of nomination(s) / substitutions at last minute are accepted. Registrations are confirmed upon receipt of payment / declaration on payment. Pre-registration and prepayment is essential for participation. Fee includes cost of certificate, course material, lunch & coffee/tea etc. Registration will be accepted on “First Come First Served’ basis. This is a non-residential programme. Delegate fee is non-refundable. Exact venue will be intimated by TÜV Rheinland (India) Pvt. Ltd. on receiving the confirmation from the participants.</p>