Brandvid Summit

Company Name *

Delegate Name *

Designation *

Mobile Number *

Email *

No of seats *

Topics you would like to hear at BrandVid 2019: *

Attending Awards * YES NO

GST No. *

Billing address *

Name on the invoice *

Mode of Payment: NEFT/ RTGS/ Net Banking/Cheque (subject to realization)/DD Cheque/ DD should be drawn in favor of INDIAN TELEVISION DOT COM PVT. LTD. and addressed and couriered to Nadeem Abdul, Unit No. 350, C-Wing, Oshiwara, Industrial Centre Premises Co-op. Society Ltd ,Opp., Oshiwara Bus Depot, New Link Road, Goregaon (West), Mumbai 400 104.

Name of the account holder:	INDIAN TELEVISION DOT COM PVT LTD
Address of the account holder:	Unit No. 350, 350-A, 350-B, 350-C, C-Wing, Oshiwara Industrial Centre Premises Co-op. Society Ltd ,Opp. Oshiwara Bus Depot, New Link Road, Goregaon (West),Mumbai 400 104
Name of the bank:	HDFC Bank Ltd
Bank Branch	Lokhandwala Branch
Address of the bank:	G-1, Woodrose, Swami Samarth Nagar , Lokhandwala Complex, Andheri (West), Mumbai 400 053,India
Account number:	01592560004282
Account Type:	Current Account
SWIFT code	HDFCINBB
RTGS/ NEFT Code	HDFC0000159
MICR Code	400240031

Registration