1.

Program Details
High Impact Presentations

Program
Name
Date
29-30 October 2015
Timings

9.30 am to 5.30 pm

Location

Mumbai

Investment Rs. 30000 + service tax as applicable

REGISTRATION FORM

S. No.
1.
2.
3.
4.

Name
S.BALACHANDAR

2. Participant details
Designation E-mail ID Personal and
Official
DY.MANAGER

Contact No.

s.balachandar@mahindra.
com
24
icanbala@gmail.com

98508153

3. General information
Number of years of work experience in the current organization : 4 years 4
months
Total Number of Years of work experience: 9 years
Level of Management: Middle
Have you attended a Dale Carnegie Training program before? : No
(If yes, name the program and the year and location of attendance)

4. Residential or Company Information (for Invoicing purposes)

Company
Name\Indi
vidual
Billing Address
Industry
(E.g. IT, Auto)
Contact Person
Contact No.

Designation
E-mail ID

5. Supervisor Details
Name: Mr.Rajinder Singh
Email id:
singh.rajinder2@mahindra.com

Designation : Dean Mahindra institute

of Quality
Contact no. : 9867183492

6. Registration Procedure
Form
Submissio Contact person: Ms. Alita Cardoz
n
Email ID
Alita_cardoz@dalecarnegieindia.com
Contact
022 67818164
Number

Cheque/ Demand
Draft

ECS Transfer

7. Mode of Payment
The payment can be made through Cheque/Demand Draft
in favour of Walchand PeopleFirst Ltd
The bank details required for online payment
Vendor name: Walchand PeopleFirst Ltd.
Beneficiary account number: '03552790000133
Beneficiary bank name: HDFC Bank Ltd.
Beneficiary bank IFSC code: HDFC0000355
Beneficiary bank address: Elphinstone House,
17, Murzban Road, Near CST, Mumbai - 400 001
Account type (Current/ Savings/ Any Other): Cash Credit
Email Id: vivek@walchandgroup.com

Dale Carnegie Training,

Walchand PeopleFirst Ltd,
Mailing Address of
1, Construction House,
Payment
5, Walchand Hirachand Marg,
Ballard Estate, Mumbai - 400 001.

8. Terms and Conditions

a) Payment Policy We do not accept Cash or Credit Card payment
100% payment in advance
b) Cancellation
Policy
c) Intellectual
Property Policy

The nomination(s) can be cancelled 7days in advance only.

For any cancellations after this stipulated period of 7days no
refund of fees will be granted.
Usage of any or all of the Trademarks and/or other Intellectual
Property of Dale Carnegie Training India without prior written
consent shall amount to infringement. Participation or
Completion of this program shall not entitle any participant to

deliver or offer any Dale Carnegie Training Courses.

I agree with the above mentioned terms and conditions for registration:
Yes or No - __Yes___