Nomination Form

A Three Day Workshop on ITIL V3

Delhi: April 14-16, 2008, Hotel Vasant Continental
Mumbai: April 21-23, 2008, Hotel Lotus Suites
Chennai: April 24-26, 2008, Hotel GRT
Bangalore: May 1-3, 2008, Hotel Le Meridien
Pune: May 8-10, 2008, Hotel Sun N Sand
Delhi: May 12-14, 2008, Hotel Vasant Continental
Mumbai: May 22-24, 2008, Hotel Lotus Suites
Banglore: May 29-31, 2008, Hotel Royal Orchid Central
Delhi: June 16-18, 2008, Hotel Vasant Continental
Hydrabad: June 12-14, 2008, Hotel Golkonda
Bangalore: June 23-25, 2008, Hotel Le Meridien
Mumbai: June 26-28, 2008, Hotel Lotus Suites

The following form permits online submission. Please note that submission of this form is only a tentative registration for the seminar. The registration is not confirmed till payment is received.

You can alternatively print this form and fax it to QAI with details (fax no: +91-11-26218974).

Nominating Organization:*
Address:
City:*
Phone:*
Fax:
E-mail:*

Single Nomination: Rs 30,000 + 12.36% ST
Task Force of Four: Rs 1,10,000 + 12.36% ST

S.No.	NAME	DESIGNATION	CITY

1.

2.

3.

4.

Total fees to be sent: Rs. *
Bank Draft/Cheque No.
Dated
Drawn on	payable at New Delhi in favour of "QAI (India) Ltd".
Your Name*
Designation

Timings: Registration: 9 AM, Programme: 9:30 AM - 6:00 PM

Cancellations received before 15 days of commencement of course will be entitled to a 50% refund. Please note all other cancellations are liable for the entire fee.

All cheques and nominations should be sent to the Delhi Office.