I / We Would Like to Attend / Nominate the Following for the Conference

Registration Form I / we would like to attend / nominate the following for the conference:

Sl. No Name Designation Mobile Email

PARTICIPATION FEE: Non CII Member : Rs. 2500 per delegate

SMEs/Institutions: Rs 1500 per delegate

CII Member: Rs. 2000 per delegate

(10% discount for 3 or more participants from the same organization. Delegate fee is inclusive of Service Tax)

A DD/Cheque of Rs. ______(No. ______dated ______drawn on ______) being participation fee in favour of “Confederation of Indian Industry” payable at New Delhi is enclosed.

ORGANISATION DETAILS

Company______

Address______

______

Telephone______Fax______

Note:  Prior Registration is essential. Please fax/courier/email the registration form at the earliest.  Delegate fee is non-refundable. Change in nomination is accepted.

Please send the Registration Form to:

Ms. Jessy Rajji Confederation of Indian Industry 23 Institutional Area,Lodhi Road, New Delhi 110 003 Email : [email protected] ׀ Fax : 91-11-2461569 ׀ Tel : 91-11-24690715 /24629994 – 7