Participant Registration Form for Individuals
Personal Details
Full Name *
Designation *
Company *
Personal Email ID *
Official Email ID
Contact Details
Mobile Number *
City *
State/Province *
Zip/Postal Code *

Address *

(Home/Office)

Login Details
Username *
Password *

*Type password that you desire
Re-Enter Password *
 
Training Details
Course Name*
ETHEREUM MASTERY
Course Fee*
Rs.39000 + 18% GST
Coupon Code
Training Location *
Training Date*
Payment Option *

Partial Payment

Full Payment

Enter Partial Amt.
+ GST

SGST @ 9%: Rs.
CGST @ 9%: Rs.
Nett Amount: Rs.

Note:Minimum amount acceptable for partial payment is 50% of the course fee. Payment amount for balance amount needs to be completed at-least 3 days prior to your course start date.
 
Course Fee: Rs.39000
SGST @ 9%: Rs.3510
CGST @ 9%: Rs.3510
Nett Amount: Rs.46020
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