i3S – 2025
+91 7763807840+91 9264498837
[email protected]
The Alcor hotel, Jamshedpur
Title —Please choose an option—ProfDrMrMrsMsMiss
Name
Email Address
Mobile Number
Institute Company name
Designation
Country
Address
City
State
Pin Code
Members of IIMNon-membersStudentsStudents (IIM Members)Sponsors
Membership ID
PlatinumGoldSilver
Transaction ID
Delegate 1.
Delegate 2.
Delegate 3.
Delegate 4.
Delegate 5.
Payee Name
Date of Transaction
Total amount
Mode of payment
UTR/Ref No