<p> Registration Form I / we would like to attend / nominate the following for the conference: </p><p>Sl. No Name Designation Mobile Email</p><p>1.</p><p>2.</p><p>3.</p><p>4.</p><p>PARTICIPATION FEE: Non CII Member : Rs. 2500 per delegate</p><p>SMEs/Institutions: Rs 1500 per delegate </p><p>CII Member: Rs. 2000 per delegate</p><p>(10% discount for 3 or more participants from the same organization. Delegate fee is inclusive of Service Tax)</p><p>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.</p><p>ORGANISATION DETAILS</p><p>Company______</p><p>Address______</p><p>______</p><p>Telephone______Fax______</p><p>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.</p><p>Please send the Registration Form to:</p><p>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 </p>