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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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: