REGISTRATION FORM


We welcome you to Development Dialogue 2018


February 03rd and 04th : Hubballi, Karnataka


Please fill in the form below. For more information about the conference, kindly read the FAQs.
Exhibit stalls are available at the conference venue. Book your stall here.
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  • Personal Details
















  • Please let us know if we can publish your social media
    information in our conference communication material.

  •       
  • Please explain briefly your Area of expertise / interest


  • Please describe below if you need any help with specific dietary or mobility requirements


  • How did you get to know about Development Dialogue ?



  • Please share your interest in attending Development
    Dialogue 2018







  • Would you like to refer any one from your network for the conference? If yes, please share details

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  • We would like to maximize your experience at Development Dialogue 2018. Please let us know if you have any specific suggestions.



  • Note for Field Visits:

  • Due to overwhelming response, we have now closed registrations for field visits. However, the Sandbox works through the year, creating impact in multiple communities. You're welcome to visit and become a part of the social entrepreneurship ecosystem.

     I.   The last date for Registration 20th January 2018.

  • Payment Details

  • Indian Delegates - INR 6,000
    Sandbox Partners-INR 4,000
    International Delegates - USD 150

  • To register for DD 2018, we have the following payment options available. Please choose a convenient one from below:

  •   
    •  Indian Delegates INR 6000
       SandBox Partners INR 4000

  •   
  • Scan & Pay

    Development Dialouge 2018 Payment Details

  •   
    • I. Online Transfer through NEFT (within India) / Wire    Transfer (outside India)
      II. Demand Draft (Preferable): Demand draft payable    at Hubballi and drawn in favor of Deshpande    Foundation, Hubballi. Please mention your    (participant) details mentioned overleaf.

    • Registration fees

    • The details of bank account for online remittance / credit is as under:
      Account Name Deshpande Foundation
      Bank Name RBL Bank Ltd.
      Bank Account Number 3090 0331 2050
      Nature of Account Savings Account
      IFSC code for NEFT within India RATN 000 0056
      Branch Code 000 056
      Swift code for wire transfer outside India only RAT NI NBB (Please add intermediary bank charges as applicable)
      Bank Address 122/1A Kosmos Club Road,
      Behind Court,
      City: Dharwad
      Pin code: 580 001
      State: Karnataka
      Country: India
      Contact Details 91-836-221-3502
      In remarks column or special message DD 2018 ID No._____
      of Mr./ Ms._____

  • Please Note :

    • I   Deshpande Foundation reserves the right to confirm your     registration.
    • II  Registration fee covers breakfast, lunch, high tea and the entry to     the conference.
    • III Guests are required to cover their own travel and accommodation     costs.
      IV Please note the DD team reserves the right to accept your     registration and you will be notified with a personal email.

    Note: * Mandatory fields


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