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REGISTRATION FORM - CII National Committee on Defence

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Integrated HQ of MoD (Army)<br />

C<strong>on</strong>federati<strong>on</strong> of Indian Industry<br />

Corps of Signals<br />

To:<br />

<strong>Defence</strong> & Aerospace Divisi<strong>on</strong><br />

C<strong>on</strong>federati<strong>on</strong> of Indian Industry<br />

249-F , Sector 18, Udyog Vihar, Phase IV<br />

Gurga<strong>on</strong> - 122015, Haryana, India<br />

Ph<strong>on</strong>e: 91-124-4014060-67<br />

Fax: 91-124-4014080<br />

E-mail: amit.kumar@cii.in / 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 for Registrati<strong>on</strong>: 13 th October 2011<br />

INTERNATIONAL SEMINAR AND EXHIBITION<br />

2011<br />

“Enabling Informati<strong>on</strong> and Communicati<strong>on</strong> Technologies (ICT) for Info Age Warfare”<br />

02 – 03 November 2011; Manekshaw Centre, Swarna Jayanthi Marg, Delhi Cantt, N Delhi, India<br />

[Please <strong>on</strong> appropriate box(es)]<br />

Our Company is a 1 <str<strong>on</strong>g>CII</str<strong>on</strong>g> Member<br />

1 N<strong>on</strong> <str<strong>on</strong>g>CII</str<strong>on</strong>g> Member<br />

<br />

<br />

<br />

I would like to participate as a delegate at this interacti<strong>on</strong>.<br />

I would like to book ___ (No(s)) of Stall(s) for product display.<br />

I 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 />

<str<strong>on</strong>g>CII</str<strong>on</strong>g> Membership No. (Please quote this<br />

number to get the benefits offered to <str<strong>on</strong>g>CII</str<strong>on</strong>g><br />

Members)<br />

______________________________<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 />

P. T. O.


Participati<strong>on</strong> Fee and details<br />

Last Date of<br />

Registrati<strong>on</strong><br />

Seminar<br />

Delegate<br />

Participati<strong>on</strong> of<br />

foreign nati<strong>on</strong>als<br />

: 13 th October 2011 for both Seminar and Exhibiti<strong>on</strong> (<strong>on</strong> First-paid-firstserve<br />

basis)<br />

:<br />

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 />

: Participati<strong>on</strong> fee for companies not registered in India: USD 500 per<br />

delegate<br />

Please note that participati<strong>on</strong> of foreign nati<strong>on</strong>als at this Seminar<br />

would be subject to security clearance from competent authority.<br />

Foreign <str<strong>on</strong>g>Nati<strong>on</strong>al</str<strong>on</strong>g>s are requested to submit the ‘Security Clearance<br />

Form’ al<strong>on</strong>g with the registrati<strong>on</strong> form latest by 07 th October 2011.<br />

Please visit www.ciidefence.com/events to download ‘Security<br />

Clearance Form’.<br />

Exhibiti<strong>on</strong> : Limited numbers of stalls are available <strong>on</strong> first-paid-first-served basis<br />

at INR 10,000/- per Sqm for <str<strong>on</strong>g>CII</str<strong>on</strong>g> member companies & INR 12,000/-<br />

per Sqm for <str<strong>on</strong>g>CII</str<strong>on</strong>g> N<strong>on</strong> member companies. Please c<strong>on</strong>tact<br />

amit.kumar@cii.in for more informati<strong>on</strong>.<br />

Technical<br />

Papers<br />

:<br />

Interested companies are requested to kindly submit the technical<br />

papers latest by 15 th September 2011. These may please be sent at<br />

amit.kumar@cii.in<br />

Sp<strong>on</strong>sorship<br />

opportunities<br />

:<br />

Excellent sp<strong>on</strong>sorship opportunities are available for better projecti<strong>on</strong><br />

of companies. Companies may use this unique opportunity to enable<br />

themselves to stand out of the crowd and get noticed by key decisi<strong>on</strong><br />

makers. It will also help companies to create strategic brand<br />

associati<strong>on</strong> and enhance your company's credibility.<br />

Please c<strong>on</strong>tact Amit Kumar at amit.kumar@cii.in for more informati<strong>on</strong><br />

about sp<strong>on</strong>sorship opportunities.<br />

Mode of<br />

payment<br />

Terms of<br />

participati<strong>on</strong><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 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 +91-124-4014080 or e-mail to<br />

amit.kumar@cii.in <strong>on</strong> or before 1700 hrs <strong>on</strong> 13 th October 2011.<br />

- No refunds will be offered for cancellati<strong>on</strong>s received after 1700 hrs<br />

13 th October 2011.<br />

- If you have not received an acknowledgement before the<br />

Seminar, please call us to c<strong>on</strong>firm your booking<br />

- Participati<strong>on</strong> of foreign nati<strong>on</strong>al would be subject to approval from<br />

the competent authorities.<br />

Date:<br />

Signature:

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