Registration Form

International Conference on

Disruption: Ideas and narratives for Management & Leadership

March 9-10, 2018

Please email the scanned copy of this form duly filled to“”

on or before February 20, 2018

  1. Name of the participant: ……………………………………………………………………………. Designation: (Professor/Associate Professor/Assistant Professor /Lecturer/ Research Scholar/ Executive/Student)…………………………………………………………
  2. Name of the Organization/Institution: …………………………………………………………
  3. Area of Specialization/Interest: …………………………………………………………………...
  4. Whether presenting paper (Tick Applicable)Yes/No
  5. If Yes, Title of the Paper:……………………………………………………………………………...
  6. Address for Correspondence: ……………………………………………….……………………...

………………………………………………………………………………………………………………………..

  1. Contact: Phone: Mobile:…………………….
  2. Email:..……………………………………….....
  3. *Accommodation required: Yes / No

*Accommodation (non-AC) on sharing basis will be provided in the university hostel at subsidized rates of Rs. 300/- (Plus 18% GST) per head per day (inclusive of boarding and lodging). Please inform in advance if accommodation is required. Accommodation (AC and Non-AC) is also available at ‘Squar-Inn’ hotel ( Ph: +91 9493425555/ +91-845-5225567) near to the university campus at discounted rates for the conference.

  1. Details of Demand Draft / Online TXN Reference ID:…………………………………….

……………………………………………………………………………………………………………………………..

Date: …………………………… Signature of the Participant: …………………………………………..

GITAM HBS – Bank Details for Conference Registration

Registration Fee:

Foreign Delegates: US $ 100/- *

Corporate/Industry Professionals:Rs. 4000/- *

Academicians:Rs. 2000/- *

Research Scholars Rs. 1200/- *

Students:Rs. 500/- * (* Fee +18% GST extra)

The registration fee includes admission to all the technical sessions, conference kit, tea/coffee breaks, and working lunches on both the days. Registration fee can be submitted through a Demand Draft drawn in favour of “Programme Coordinator HBS”, payable at Hyderabad.

Filled in Registration Form should be sent along with the DD to Dr. DivyaKirti Gupta, Conference Convenor, Hyderabad Business School, GITAM, Rudraram (V), Patancheru Mandal, Sangareddy District - 502329, Telangana, India.

For online payments of registration fee, the details are as follows:

Account Name:Programme Coordinator HBS

Account No.: 642901010050032

Bank Name: Union Bank of India (Current Account)

Branch: Rudraram

IFSC Code:UBINO564290

In case of online payment of registration fee, confirmation of payment along with registration form should be mailed to