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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.

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