REGISTRATION FORM

Programme on
Recent Judgement by Hon’ble Supreme Court
on
Applicability of EPF Contribution
on Special Allowance and
other Allowances
India Habitat Centre, Lodhi Road, New Delhi

Please register our Nominee(s) for the Programme

S. EMAIL ID
NAME DESIGNATION MOBILE No
No.

JANMEJAYA Janmejaya.samal@motherdairy.com 9456826601/

1 MANAGER HR
SAMAL 9873915027

Organization: MOTHER DAIRY FRUIT & VEGETABLE PVT. LTD., PATPARGANJ, DELHI –
110092
Authorized Signatory, Name & Designation: Self Nomination
Communication Address: As above
Email: .................................................................... Mobile: ................................................
Participation Fee (Per Delegate)

For DMA/AIMA Member : Rs 1,180/-

Non Member : Rs 1,475/-
Inclusive of 18% GST
GST No.: 07AAATD0225C1ZJ PAN No. of DMA: AAATD0225C

PAYMENT OPTIONS: Please indicate your payment method:

Cheque √ DD Bank Transfer

 Bank Transfer: Kindly send us proof of payment.

Bank Transfer Details
Bank: Indian Overseas Bank, 20, Inst. Area, Lodhi Road, New Delhi –110003, India
A/c No.: 149802000000055 Account Name: Delhi Management Association
Branch Name: Lok Kala Manch IFSC Code : IOBA 0001498
Swift Code No. : IOBAINBB001 MICR No. : 110020046

Enclosed is Cheque/ DD….……..for Rs...................... in favour of Delhi Management

Association being the participation fee for the programme.

Please send the fee along with nomination form to DMA, India Habitat Centre, Core 6 A,
1st Floor, Lodi Road, New Delhi-110003, Tel: 011- 24649551, 24629555 or E-
mail: info@dmadelhi.org or rajan.pandhi@dmadelhi.org or Website: info@dmadelhi.org
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