ICE Foundation India - CONNECT THE NATION

• It is mandatory to fill up ( * ) marked ones. Incomplete forms will be rejected.

• The symbol Marked with (# ) shall be printed on your Badge.

Please the form to proceed the Donation.

First Name *

Middle Name

Last Name *

Designation *

Company Name *

GSTIN Number

Company URL

Business Contact No.*

Business Email ID *

Registered Address / Residence Address as per Aadhar Card*

Pincode *

State

( Please Select Country First. )

Country *

Member Photo *

Allowed formats: JPEG, PNG. Max size: 2MB.

Business Card *

Allowed formats: JPEG, PNG. Max size: 2MB.

I do hereby give my consent to use my details for verification & marketing purposes as per the Rudra Events private policy.*

I declare that the information provided is true to the best of my knowledge. ICE2025 may cancel my registration if found otherwise.*

Registration is subject to mandatory review & final approval by the registration committee.*