SAMVAAD 2025 | SkillsDa

Delegate Registration Form

Event Details:

• Date: May 19 - May 21, 2025
• Venue: Radisson Blu Temple Bay, Mahabalipuram

Registration Fee

Early Bird Price Till 25 April 2025: ₹20,000/-
26 April 2025 to 10 May 2025: ₹25,000/-
Spot Registration Fees : ₹30,000/-

Privacy Notice:

We value your privacy and are committed to protecting your personal information. The details collected in this form will be used solely for the purpose of organizing and managing the events at "CERT-In Samvaad 2025' This includes event registration, communication, and related logistics.

Your information will not be shared with third parties except as necessary for event facilitation. We will retain your data only for the duration required to fulfill these purposes, after which it will be securely deleted.

By submitting this form, you consent to the collection and processing of your data as outlined above. If you have any questions or wish to withdraw your consent, please contact samvaad2025@skillsda.com

1. Personal Information

Email ID *

Full Name (as per ID) *

Gender*

Mobile Number * (+91)

Alternative Mobile Number

Name of CERT-In Empanelled Organization:*

Designation / Role: *

Place of Work: *

LinkedIn Profile (Optional)

2. Attendance & Event Participation

Category of Delegate*

3. Food & Health Information

Food Preference*

Do you have any food allergies?*

4. Consent & Declaration (Kindly read and check all the boxes below)

To enhance your experience, we may share limited delegate information with event sponsors for networking and engagement.

️ I consent to receive event-related updates and promotional materials via email/WhatsApp.*

️ I consent to the use of my photos/videos taken during the event for marketing and promotional purposes.*

️ I confirm that my organization is empanelled with CERT-IN and that I have obtained the necessary consent from my organization to attend the conference.*

️ I understand that participation is subject to verification.*

️ I agree to abide by the event guidelines and code of conduct.*

️ I understand that travel and accommodation arrangements are my responsibility..*

I understand that the registration information will be erased/deleted post conference.*

I consent that CERT-In will publish the submitted papers in public domain.*

Please upload a scanned copy of your employee ID

Attachment*

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Format: PDF only
Size : Max. 2MB

Please click here to make the payment *

(Your payment receipt along with the transaction Id will be sent to your registered email Id, after the completion of the payment. Please copy the transaction Id)

Payment

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Date of the Payment*