REGISTRATION FORM - CII National Committee on Defence
REGISTRATION FORM - CII National Committee on Defence
REGISTRATION FORM - CII National Committee on Defence
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C<strong>on</strong>federati<strong>on</strong> of Indian Industry Indian Space Research Organisati<strong>on</strong> Antrix Corporati<strong>on</strong> Limited<br />
To:<br />
<strong>Defence</strong> & Aerospace Divisi<strong>on</strong><br />
C<strong>on</strong>federati<strong>on</strong> of Indian Industry<br />
India Habitat Centre<br />
Core 4A, 4th Floor, Lodi Road<br />
New Delhi - 110 003<br />
Tel: +91 11 41504514 - 19<br />
Fax: +91 11 24682226<br />
E-mail: defence@cii.in<br />
<str<strong>on</strong>g>REGISTRATION</str<strong>on</strong>g> <str<strong>on</strong>g>FORM</str<strong>on</strong>g><br />
LAST DATE OF <str<strong>on</strong>g>REGISTRATION</str<strong>on</strong>g><br />
10 th August 2010<br />
2 nd INTERNATIONAL CONFERENCE “WORLD SPACE – BIZ”<br />
25 - 28 August 2010; BIEC, Bengaluru, India<br />
Our Company is a:<br />
r<br />
r<br />
<str<strong>on</strong>g>CII</str<strong>on</strong>g> Member (Please menti<strong>on</strong> Membership No.__________)<br />
N<strong>on</strong> <str<strong>on</strong>g>CII</str<strong>on</strong>g> Member.<br />
We have read the 'Terms for Participati<strong>on</strong>’ and:<br />
r<br />
r<br />
r<br />
I / we would like to participate as a delegate at this C<strong>on</strong>ference<br />
I / we would like to participate at the B-to-B Meetings<br />
We would like to Sp<strong>on</strong>sor the event.<br />
Name: ______________________ Company: ______________________<br />
Designati<strong>on</strong>: ______________________ Address: ______________________<br />
Ph<strong>on</strong>e: (O) ______________________ ______________________<br />
Ph<strong>on</strong>e: (R) ______________________ ______________________<br />
Fax: (O) ______________________ City: ______________________<br />
Mobile: ______________________ State: ______________________<br />
Email: ______________________ Pin: ______________________<br />
Enclosed please find DD / Cheque No.___________ dated ________ amount _________<br />
drawn in favour of 'C<strong>on</strong>federati<strong>on</strong> of Indian Industry' payable at New Delhi towards our<br />
participati<strong>on</strong> fee.<br />
Date:<br />
Signature
PARTICIPATION DETAILS & FEE<br />
Last Date : 10 th August 2010 for C<strong>on</strong>ference & B-to-B Meetings<br />
Delegate Fee : Rs.10,000/- per delegate for <str<strong>on</strong>g>CII</str<strong>on</strong>g> Members & Rs.12,000/- per delegate<br />
for <str<strong>on</strong>g>CII</str<strong>on</strong>g> N<strong>on</strong> Members<br />
(SME Member companies of <str<strong>on</strong>g>CII</str<strong>on</strong>g> can avail 10% c<strong>on</strong>cessi<strong>on</strong> <strong>on</strong><br />
participati<strong>on</strong> fee)<br />
B-to-B Meetings : Rs.5,000/- per delegate for <str<strong>on</strong>g>CII</str<strong>on</strong>g> Members & Rs.6,000/- per delegate for<br />
<str<strong>on</strong>g>CII</str<strong>on</strong>g> N<strong>on</strong> Members (Free for registered delegate for the c<strong>on</strong>ference)<br />
Technical<br />
Papers<br />
Participati<strong>on</strong> of<br />
foreign nati<strong>on</strong>als<br />
Sp<strong>on</strong>sorship<br />
opportunities<br />
Mode of<br />
payment<br />
Terms of<br />
participati<strong>on</strong><br />
: Interested companies are requested to kindly submit the technical<br />
papers <strong>on</strong> the given topics or other suitable topics latest by 30 th June<br />
2010. These may please be sent at amit.singh@cii.in<br />
: Participati<strong>on</strong> fee for companies not registered in India: USD 500 per<br />
delegate<br />
: Excellent sp<strong>on</strong>sorship opti<strong>on</strong>s are available for better projecti<strong>on</strong> of<br />
your company at this Internati<strong>on</strong>al Seminar. Please c<strong>on</strong>tact Mr<br />
Prashant A N at prashant.a.n@cii.in for more informati<strong>on</strong> about<br />
sp<strong>on</strong>sorship opportunities.<br />
: All payments to be made in Cheque / DD drawn in favour of<br />
‘C<strong>on</strong>federati<strong>on</strong> of Indian Industry’ payable at New Delhi<br />
:<br />
‣ Pre registrati<strong>on</strong> is a must due to security reas<strong>on</strong>s.<br />
‣ Please use separate registrati<strong>on</strong> form for more than <strong>on</strong>e<br />
registrati<strong>on</strong>.<br />
‣ Registrati<strong>on</strong> would be c<strong>on</strong>firmed <strong>on</strong> a first-paid-first-served basis.<br />
‣ Registered delegates would be provided with a Registrati<strong>on</strong><br />
Number.<br />
‣ Registrants who determine that they cannot attend must make<br />
notificati<strong>on</strong> in writing and fax it to +91 11 24682226 or e-mail to<br />
defence@cii.in <strong>on</strong> or before 1700 hrs <strong>on</strong> 10 th August 2010.<br />
‣ No refunds will be offered for cancellati<strong>on</strong>s received after 1700<br />
hrs 10 th August 2010.<br />
‣ If you have not received an acknowledgement before the<br />
C<strong>on</strong>ference, please call us to c<strong>on</strong>firm your participati<strong>on</strong>.<br />
‣ All applicati<strong>on</strong>s to attend will be c<strong>on</strong>sidered by the internati<strong>on</strong>al<br />
organising committee, who reserve the right to reject any such<br />
applicati<strong>on</strong>s where this might c<strong>on</strong>flict with Indian law.<br />
‣ The organisers will accept no resp<strong>on</strong>sibility for loss or<br />
inc<strong>on</strong>venience should this event be cancelled due to Force<br />
Majeure.<br />
‣ The organisers will accept no liability for failure by delegates to<br />
obtain the necessary visa clearance in order to attend the<br />
C<strong>on</strong>ference.