registration form gri g4 feb.15 - chennai

Insight Associates 109, Ashirwad Society, Opp. Sardar Park II, Gattu Vidyalaya Rd., GIDC Estate, Ankleshwar, Bharuch - 393002 Gujarat - India, Phone: +91‐2646‐239199, Mobile: +81 9824054696 Email [email protected] , Website: www.insightassociate.com GRI Certified Training on G4 Sustainability Reporting Framework 5-6 February 2015 at Chennai Registration Form 2Ms. Sheela Mistry Founder & CEO Ph.: +91 9824054696 Email: [email protected] [email protected] Our company / organization would like to participate in the GRI Certified Training on Sustainability Reporting. We are pleased to nominate the following personnel/s to the programme. Name Designation Course Enrolled G4 Reporting Framework Have you attended G3/G3.1 previously? (Yes or No) 1. 2. 3. 4. 5. Organisation Address Telephone Fax Mobile Email Authorized signatory Cheque Payment Please send the Registration fees of Rs. through DD / cheque favoring "Insight Associates" Payable at Ankleshwar, Gujarat and courier the same at the below address: Cheques can be couriered to Ms. Sheela Mistry, 109, Ashirwad Society, Opp. Sardar Park II, GIDC, Nr. Gattu Vidyalaya, Ankleshwar - 393002, Dist. Bharuch - Gujarat - India Online Transfer Account number 909020041582941 of Axis Bank, Ankleshwar - 393002, Dist. Bharuch - Gujarat – India. MICR Code of the bank branch MICR: 393211001 IFCS Code of the bank branch - For NEFT Transfer : UTIB0000458 Type of Bank Account - Current A/C

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Page 1: Registration form gri g4 feb.15 - chennai

Insight Associates 109, Ashirwad Society, Opp. Sardar Park II, Gattu Vidyalaya Rd., GIDC Estate, Ankleshwar, Bharuch - 393002

Gujarat - India, Phone: +91‐2646‐239199, Mobile: +81 9824054696

Email [email protected], Website: www.insightassociate.com

GRI Certified Training on G4 Sustainability Reporting Framework

5-6 February 2015 at Chennai

Registration Form

2Ms. Sheela Mistry Founder & CEO

Ph.: +91 9824054696 Email: [email protected]

[email protected] Our company / organization would like to participate in the GRI Certified Training on Sustainability Reporting. We are pleased to nominate the following personnel/s to the programme.

Name Designation Course Enrolled G4 Reporting Framework

Have you attended G3/G3.1 previously?

(Yes or No)

Organisation

Address

Telephone Fax

Mobile

Authorized signatory Cheque Payment Please send the Registration fees of Rs. through DD / cheque favoring "Insight Associates" Payable at Ankleshwar, Gujarat and courier the same at the below address: Cheques can be couriered to Ms. Sheela Mistry, 109, Ashirwad Society, Opp. Sardar Park II, GIDC, Nr. Gattu Vidyalaya, Ankleshwar - 393002, Dist. Bharuch - Gujarat - India Online Transfer

Account number 909020041582941 of Axis Bank, Ankleshwar - 393002, Dist. Bharuch - Gujarat – India.

MICR Code of the bank branch MICR: 393211001

IFCS Code of the bank branch - For NEFT Transfer : UTIB0000458

Type of Bank Account - Current A/C

mailto:[email protected]

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