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)