CAPEXIL (Sponsored by Ministry of Commerce & Industry, Govt. of India) Overseas Importers’ Registration Form Reverse Buyer Seller Meet in New Delhi, India coinciding with India Rubber Expo 2015 Date: 16th & 17th January 2015 Name of the Foreign Delegate Company Name & Address Contact Details: Tel: Fax: Cell: E-mail: Website: Nationality Participant’s Passport Number: Date of Issue Date of Expiry Place of Issue Annual Turnover of the Company (in USD / Euro etc.) in 2013-14 Annual Import Turnover (in USD / Euro etc.) in 2013-14 Are you affiliated to any Chamber of Commerce/Industry Association? (If yes, please specify) Major products imported during 2013-2014. (Please indicate Name, ITC H.S. Code & value of the imported products) Major Importing countries Exact Areas of your Interest & Products (Rubber & Auto Tyre & Tubes) interested to source from India (Please specify name & ITC HS Code of the product) Endorsement by Indian Embassy / High Commission / Consulate Date: Name: Designation: Signature & Company Seal: Note: The applicant must not be an Indian passport holder as per the norms / rules of the Ministry of Commerce & Industry, Government of India