Unltd India: International Conference on Social Entrepreneurship in India 2008

1. About you

Please complete all necessary fields. Fields marked with * are required.

First Name: *

Last Name: *

Gender: *

Male

Female

Telephone Number: *

Mobile Number:

Address: *

City: *

Country:

Special dietary or other requirements:

2. About your organisation

Organisation Name: *

Your Designation: *

Focus Area:

50 characters maximum

Tell us about your organisation's work: *

250 characters maximum

Website:

Telephone Number: *

Address: *

City: *

State:

Country: *

3. Book workshop places

Please read the section ‘What is the Programme Schedule’ on www.unltdindia.org/conference.html before filling out this section.

Please note that you can only book a space at two workshops in advance. Since there are multiple sessions being organised during the two days, you can also choose to not to attend any workshop.

Choose TWO workshops you wish to attend. Please note that the form will not be submitted if you select more than two:

Scaling/replication – is it necessary?

Financial Management

Governance – can Boards work for you?

Impact assessment – what does success look like?

Fundraising – raising resources at local, national and international level

Hosting and attending Open Space Workshops on the 5th December

Please read the section ‘What is the Programme Schedule’ on www.unltdindia.org/conference.html before filling out this section.

Please note that you can only offer to host one workshop at the Open Space. You can choose not to host a workshop and attend one instead.

Host a workshop:

If you would like to host a workshop, please specify the topic and a short description.

Attend a workshop:

If you would like to attend a workshop instead, please specify upto three topics. Please note that this is in addition to the workshops listed in earlier section. (Max 100 characters)

4. Choose registration type

Please note that there are sponsorships available to enable your participation in the conference. However these are limited in number and thus the preference will be given to those who would not be able to participate in the conference otherwise. To avail of these sponsorships, please write to conference@unltdindia.org along with a brief description of your work, why you need the sponsorship and your personal/organisation contact details.

Please select your registration type:

Please note Non Profit funding/support organisations should register as funding/support organisations.

5. Payment

You will be forwarded to PayPal to complete payment of the conference fees.

Email: *

Your event confirmation and payment confirmation details will be sent to this address - please ensure it is correct.

Payment method:

Credit Card/Paypal

Select a method of payment. If you select Credit Card/Paypal, you will be redirected to the Paypal site where you can pay using your credit card or balance from Paypal.