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State of the Map Asia 2018
17-18 November, 2018
REGISTRATION FORM
First Name
*
Last Name
*
Contact Email
*
Mobile Number
*
University / Organization
*
Nationality
*
Gender
*
Male
Female
Non-binary
Prefer not to say
Preferred Food
*
Vegetarian
Non-Vegetarian
Are you speaking at the conference?
*
Yes
No
Tickets
*
Student
(You will be required to show your Student/Institution ID at check-in) -
₹500
Individual
(Standard ticket for State of the Map Asia 2018) -
₹800
Corporate
(If your company is paying for you to attend this seminar, choose this ticket. You will help keep the conference affordable for others.) -
₹1200
Coupon
Amount
(in INR)
(inclusive of GST 18%)
*
I agree that
*
I will adhere to the State of the Map Asia Code of Conduct (see
http://stateofthemap.asia
)
I give permission to the organisers to use my email address for the event related communications
Note:
Please note that the ticket is not refundable
You will be taken to the Payment Gateway page for effecting online funds Transfer.
You can use Debit card/ Credit Card / Net Banking options. Payment will be in INR only.
Receipt for successful payment will be emailed to you subsequently. AMEX cards are
not accepted at the moment.
For any queries, please contact:
Email:
stateofthemapasia@gmail.com