India Carpet Expo

INDIA CARPET EXPO 27th to 30th March, 2017 at New Delhi. BUYERS REGISTRATION FORM

I / We wish to visit India Carpet Expo, 27-30 March, 2017 at New Delhi. I / We furnish our details for registration as under :-

1. DETAILS OF THE COMPANY : ( Please write in capital letters ) a. Company's Name * ______Tax ID No.*./VAT No.*______b. Name & Designation of Representative

(s)*______c. Address *______

City * ______State *______Country *______Pin / Zip Code * ______d. Phone: Country Code *______City Code_*______Number (s)

*______e. Mobile: Country Code *______Number (s)

*______f. Fax: Country Code ______City Code______Number ______g. E-mail_*______Web-site ______2. Have you availed CEPC’s Complimentary package earlier. If so, please mention the year(s) : * i. Year: ______, ii.: Year ______iii. Year: ______iv. Year: ______v. Year:______

3. OTHER INFORMATION : ( Please tick )

a. You are importing handmade carpets as: Retailer__Wholesaler ___Deptl. Store ___Chain Store __Speciality Store ____

b. Your items of import: Hand knotted Woollen Carpets _____ Silk / Art Silk Carpets ______Handtufted Carpets ______

Handloom Carpets_____ Durries _____ Rugs _____ Others _____

c. Your sourcing country for import: India ___ China ____ Pakistan ____ Nepal___ Iran ____ Turkey ____ Others ____

d. *Your Annual Import of Handmade Carpets & other Floor Coverings for last 3 years ( in US $ )

Total Import: 2013 ______2014 ______2015______

Import from India: 2013______2014______2015______e. *Details of outstanding payments in India – (i) for more than 6 months US $ ______(ii) for more than one year US $______4. TRAVEL INFORMATION : ( Please tick) a. Need Hotel Accommodation in New Delhi : Yes / No.

b. If yes, specify dates : Check-in ______Check-out ______

I do hereby confirm that the above information furnished by me is correct to the best of my knowledge.

(*) Mandatory

Place ______Signature______Date ______Name______Company's Seal ______