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INDEE INDONESIA 2009 – APPLICATION FOR PARTICIPATION
NAME OF THE COMPANY: ....................................................................................................................................................................................................................
POSTAL ADDRESS: ................................................................................................................................................................................................................................
PHONE: - FAX: -
AREA CODE NUMBER AREA CODE NUMBER
EMAIL: ............................................................................................................................................. WEBSITE: ...................................................................................
NAME OF THE MD/CHAIRMAN: Mr/Ms ...............................................................................................................................................................................................
STATUS:q MANUFACTURER/EXPORTER q MERCHANT EXPORTER q EXPORT HOUSE q OTHER .................................... TYPE OF UNIT: q SSI q NON-SSI
TOTAL ANNUAL EXPORT (MILLION US$): 2006-07 ................ 2007-08 ................ 2008-09 ................
TOTAL EXPORT TO ASEAN REGION (MILLION US$): 2006-07 ................ 2007-08 ................ 2008-09 ................
FOREIGN COLLABORATION (IF ANY): ................................................................................................................................................................................................
PRODUCTS MANUFACTURED/EXPORTED: ........................................................................................................................................................................................
COUNTRIES OF EXPORT: ......................................................................................................................................................................................................................
ACCREDITATED TO INTERNATIONAL STANDARDS (LIKE ISO, QS, ETC.): q YES q NO IF YES, SPECIFY: .................................................................
SPACE REQUIRED (MIN 9 SQ MT): ....................... SQ MT
BOOTH TYPE: q ONE-SIDE OPEN q TWO-SIDES OPEN q BARE SPACE
FASCIA NAME TO BE DISPLAYED: ................................................................................. NATURE OF DISPLAY:q DISPLAY OF SAMPLES q DISPLAY OF POSTERS
AMOUNT: INR/US$ ................... DD NO. DATE (DD/MM/YYYY): ............../ ............../ ...........................................
NAME/S OF THE PARTICIPANT/S: ......................................................................................................................................................................................................
DESIGNATION: ...................................................................................................................................... MOBILE NO.
PASSPORT NO.: ........................................................................................................................ PLACE OF ISSUE: ..............................................................................
DATE OF ISSUE (DD/MM/YYYY): ............../ ............../ ....................................... VALID UP TO: ............../ ............../ ...........................................
ARE YOU ELIGIBLE FOR MDA*: q YES q NO
NOTE
1. GIVE DETAILS OF YOUR COMPANY (UP TO 80 WORDS) ON A SEPARATE SHEET FOR THE EXHIBITOR’S PROFILE.
2. PLEASE SEND US THIS FORM COMPLETED AND SIGNED. PLEASE ENCLOSE YOUR PARTICIPATION FEE BY DEMAND DRAFT AND 2 (TWO) PASSPORT-SIZE COLOUR
PHOTOGRAPHS OF EVERY PARTICIPANT.
* THE MDA GUIDLINES CAN BE DOWNLOADED FROM http://commerce.nic.in/mda-guideleines.pdf
SIGNATURE AND OFFICE SEAL DATE (DD/MM/YYYY): ............../ ............../ .......................................
Fair dates: 2 - 5 December 2009
Location:
Hall No. C2, Jakarta International Expo Kemayoran, Jakarta, Indonesia
Exhibition time: 10 a.m. to 7 p.m. (first three days)
10 a.m. to 6 p.m. (last day)