summit registration form

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Smart Manufacturing Summit
“Make India a Global Leader in Manufacturing”
27th November 2015: Royal Ballroom, Eros Hotel, New Delhi
SUMMIT REGISTRATION FORM
Delegate Fee Categories: Per person
SN
1
2
3
Category
Large & Medium Scale Industry
Small & Micro Scale Industry
Institution / Academia
CII Members
Rs. 2500/Rs. 2000/Rs. 1500/-
Non-Members
Rs. 3000/Rs. 2500/Rs. 2000/-
Company Name: ____________________________ CII Memb. No. ________________
Address: __________________________________________________________
City: _________________ State: ___________ Tel: ________________________
We are nominating the following from our company to attend the Summit:
SN
NAME
DESIGNATION
EMAIL
MOBILE NO.
1
2
3
4
5
Enclosed is the Cheque/ Demand draft no. ___________ dated ___________ for
Rs.__________ in favour of “Confederation of Indian Industry” towards delegate fee.
Note:
● Registration and pre-payment is must. ● Delegate fee is non-refundable. ● Changes in nomination are acceptable.
● Service Tax @14% to be added in the Delegate fee mentioned above. ● Group Discount of 10% on Nomination of 4 or more
For personal assistance with you registration, you may contact:
Aakash Deep
Deputy Director – Manufacturing
Mobile: + 91 98107 66055
Email: aakash.deep@cii.in
Ravi Bhushan
Executive – Manufacturing
Mobile: +91 99908 11219
Email: ravi.bhushan@cii.in
Confederation of Indian Industry, India Habitat Centre (IHC),
Core 4A, 4th Floor, Lodi Road, New Delhi-110003
Tel: 011 – 24682230-35 (Ext. 262 & 261)
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