Application Form 8-10 October 2009

CIRC Training Programme on Anti-dumping, Anti-subsidy and Safeguard Measures 8-10 October 2009 Kilachand Conference Room, 2nd Floor, Indian Merchants’ Chamber Building IMC Marg, Churchgate, Mumbai 400 020

APPLICATION FORM*

Name & Designation:
Name & Address of the Organisation:

Phone:
Fax:
Email:
Experience:

Fee: Rs. 20,000 per participant plus applicable service tax) payable to CUTS Institute for Regulation & Competition, New Delhi; Please send this Application Form along with the fee to the following address:

Wilson Tharakan
Office Secretary
CUTS Institute for Regulation & Competition (CIRC)
R-75, 1st Floor, Greater Kailash I, New Delhi 110 048
Phone: 011-26463021
Fax: 011-40535921
Email: circ@circ.in

For any clarification please write to Bipul Chatterjee, Director, CIRC, bc@circ.in

Amount of Payment …………………………….Mode of Payment (DD/Ch)…………………………
Instrument No………………………Date of Instrument ………………………………..
Name of the Issuing Bank………………………………………………………

Signature:

Date: