Registration Form s13

-- Tab Sponsored by --

Chance to win

Datawind’s 2 Andriod Tabs as Delegate

8th INDIA OPERATIONA L EXCELLENCE SUMMIT “Make-ing India the Global Hub of Best-in-Class Manufacturing” Friday, 17th March 2017 : New Delhi

www.opex-summit.in | www.cii.in/makeinindia | www.cii.in/miiregistration

-- REGISTRATION FORM --

DISPLAY COUNTER SPACE WITH CATEGORY REGISTRATION FEES FASCIA CII Members (Large & Medium) 2,500 INR/ Delegate Non-members (Large & Medium) 3,000 INR/ Delegate CII Members (Small) 1,500 INR/ Delegate Non-members (Small) 2,000 INR/ Delegate Institutions (Academic & Research)/ NGOs/ 1,000 INR/ Delegate Rs 40,000 /= only Associations 100 US Dollar/ (including Service Foreign Nationals Tax) Delegate o Early Bird Discount: 10% discount if you nominate on or before 16 Feb 2016. o Group Discount: Nominate 3 or more delegates from your organisation and get additional 10% OFF on the total participation fee. o Pre-Registration is must for participation. o Delegate Fee is non-refundable & cannot be adjusted to any other CII event; however change in nomination is possible. o Amount inclusive of Taxes as applicable.

- - P A R T I C I P A N T D E T A I L S - -

S. No. Name with initials (Mr/Ms/Mrs/Dr etc) Designation Mobile No. Email ID 1. 2. 3. 4. 5.

Please send filled P AR T C I P A T I O N F E E D E T AI L S Reply Form(s) at following address:

Our demand draft / cheque No. Dat dated Bank F for Rs Mr Deepak Sidha drawn in favour of “Confederation of Indian Industry” payable at Chandigarh / New Delhi is enclosed. Confederation of Indian Industry (Northern Region) – Sub-Regional CII Membership No: Office Sender’s Name: Mobile : Email: Plot No 249 - F, Sector-18 Udyog Vihar, Phase IV Designation: Gurgoan - 122 015 Organisation: Direct : +91-0124-4014073 Address: Mobile : +91-9810307114 E- mail : [email protected]

Phone: Fax: SPONSORSHIP OPTIONS I would be interested to sponsor the above Summit Yes / No ADVERTISEMENT IN EVENT BOOKLET Full Page (A4 Size)  Back Cover (Multi Color) – INR 30,000/-  Inside Page (Multi Color) – INR 12,000/-  Inside Front Cover (Multi Color) – INR 20,000/-  Inside Page (Black & White) – INR 8,000/-  Inside Back Cover (Multi Color) – INR 15,000/- Half Page (A4 Size)  Inside Page (Multi Color) – INR 6,000/-  Inside Page (Black & White) – INR. 4,000/- Lucky Draw Contest guidelines As a delegate, opportunity to Win DATAWIND’S Android Based Tab in every session of one day conclave

 During each session(s), CII will provide Lucky Draw coupon to delegates present in that particular Session

 Delegates need to fill up the Coupon and drop at particular Sessions Lucky Draw Box, which will available during that particular Session Only.

 For Session I, “Lucky Draw Box – I” will be available from 1030 - 1100 hrs

 For Session II, “Lucky Draw Box – I” will be available from 1145 - 1215 hrs

 For Session II, “Lucky Draw Box – III” will be available from 1245 - 1315 hrs

 For Session III, “Lucky Draw Box - IV” will be available from 1430 - 1500 hrs

 For Session IV, “Lucky Draw Box - V” will be available from 1630 - 1700 hrs

 There will be ONE (01) Lucky Draw winner from each session (I to V) and delegate can participate in all sessions.

 Lucky Draw Winner (Session I – V) can win minimum of 1 and maximum of 2 Tabs.

 In continuation for third time winner, New Lucky Draw winner will be announced by draw of lots.

 Only delegates present during the announcement of the prizes are entitled to receive the award from the Representative of DATAWIND

 Entry restricted for CII & DataWind Staff.