Registration Form - CII National Committee on Defence

To:Defence & Aerospace DivisionConfederation of Indian Industry249-F, Sector 18, Udyog Vihar, Phase IVGurgaon - 122015, Haryana, IndiaPhone: 91-124-4014060-67Fax: 91-124-4234170E-mail: defence@cii.inREGISTRATION FORMLast Date for <strong>Registration</strong>15 February 20132 nd International Seminar on “Army Air Defence in 21 st Century”20 February 2013, Kothari Auditorium, DRDO Bhavan, New Delhi[Please on appropriate box(es)]Our Company is a1 <strong>CII</strong> Member1 Non <strong>CII</strong>MemberI would like to participate as a delegate at this interaction.I would like to Sponsor the event.I would like to exhibitName: ______________________ Company: ______________________Designation: ______________________ Address: ______________________Phone: (O) ______________________ ______________________Phone: (R) ______________________ ______________________Fax: (O) ______________________ City: ______________________Mobile: ______________________ State : ______________________Email: ______________________ Pin : ______________________<strong>CII</strong> Membership No._______________________________Enclosed please find DD / Cheque No.___________ dated ________ amount _________drawn in favour of ‘Confederation of Indian Industry’ payable at New Delhi towards ourparticipation fee.

Participation Fee and other detailsLast Date of<strong>Registration</strong>Participation Fee(per delegate): 15 Februray 2013 (on First-paid-first-serve basis):Industry (<strong>CII</strong> member): INR 8,000/-Industry (Non <strong>CII</strong> member): INR 10,000/-SecurityClearance:Foreign nationals are requested to send in their Security Clearance <strong>Form</strong> latestby 15 February 2013.Sponsorshipopportunities: Excellent sponsorship opportunities are available for better projection ofcompanies. Companies may use this unique opportunity to enable themselvesto stand out of the crowd and get noticed by key decision makers. It will alsohelp companies to create strategic brand association and enhance yourcompany’s credibility.Mode of payment :Terms ofparticipation:All payments to be made in Cheque / DD drawn in favour of ‘Confederation ofIndian Industry’ payable at New Delhi- Pre registration is must due to security reasons.- Please use separate registration form for more than one registration.- <strong>Registration</strong> would be confirmed on a first-paid-first-served basis.- Payment in advance is required and should be received with this<strong>Registration</strong> <strong>Form</strong>.- Places cannot be guaranteed without payment.- Registered delegates would be provided with a <strong>Registration</strong> Number.- Registrants who determine that they cannot attend must make notificationin writing and fax it to +91-124-4234170 or e-mail to defence@cii.in on orbefore 1700 hrs on 15February 2013.- No refunds will be offered for cancellations received after 1700 hrson 15February 2013.- If you have not received an acknowledgement before the Conference,please call us to confirm your booking- All applications to attend will be considered by the organising committee,who reserve the right to reject any such applications.- The organisers will accept no responsibility for loss or inconvenienceshould this event be cancelled due to circumstances outside its control.- The organisers will accept no liability for failure by delegates to obtain thenecessary security clearance in order to attend the Conference.For more Information please contact:<strong>CII</strong>Defence & Aerospace DivisionPhone: +91-124-4014060-67Fax: +91-124-4014080Email: defence@cii.inWebsite: www.ciidefence.comDate:Signature: