JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
PIFAA Empower23 Registration Form
Delegate Registration for Empower23 at Pondicherry
Registration charges Rs 3600 per person
Early bird offer Rs 3000 per person for registrants registering before 10th August 2023
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
QR Code for UPI Payment
Name of Delegate
*
Your answer
ARN Number
*
Your answer
Contact Number
*
Your answer
Email id
*
Your answer
Payment details
*
Your answer
Payment date
*
Your answer
Parent Association
*
Your answer
Address
*
Your answer
City
*
Your answer
Pincode
*
Your answer
Do you want to extend stay at the Venue / Hotel for another day at special tariff (Rs 4000 twin sharing including breakfast) This needs to be paid directly to hotel on arrival
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
