ELECTRONICS AND COMPUTER SOFTWARE EXPORT PROMOTION COUNCIL (ESC) 3RD FLOOR, PHD HOUSE, OPP. ASIAD VILLAGE, NEW DELHI 110016 TEL: +91-11- 4748 0000 FAX : +91 11 26853412 email: esc@escindia.com WEB : www.indiaelectronicsexpo.com PROFORMA FOR FOREIGN DELEGATES ELECTRONICS IN INDIA 4U INDIAN ELECTRONICS HARDWARE INTERNATIONAL B2B MEET 26-27 MARCH 2015, NEW DELHI COMPLETE NAME OF THE VISITING DELEGATE (AS IN PASSPORT) GENDER – Pl. tick MALE : FEMALE: DESIGNATION OF THE VISITING DELEGATE NAME OF THE COMPANY ADDRESS OF THE COMPANY CITY AND COUNTRY TEL (With Country / City codes) EMAIL WEBSITE MOBILE NUMBER RESIDENCE TEL.EPHONE NUMBER PASSPORT NO. OF THE VISITING DELEGATE PLACE OF ISSUE OF PASSPORT DATE OF ISSUE OF PASSPORT DATE OF EXPIRY OF PASSPORT I ELECTRONICS AND COMPUTER SOFTWARE EXPORT PROMOTION COUNCIL (ESC) 3RD FLOOR, PHD HOUSE, OPP. ASIAD VILLAGE, NEW DELHI 110016 TEL: +91-11- 4748 0000 FAX : +91 11 26853412 email: esc@escindia.com WEB : www.indiaelectronicsexpo.com TOTAL NUMBER OF EMPLOYEES IN THE COMPANY YEAR OF ESTABLISHMENT OF THE COMPANY MAIN OBJECTIVE OF VISIT TO INDIA DURING INDIA ELECTRONICS EXPO COMPANY PROFILE IN MAXIMUM 75 -100 WORDS PLEASE ANSWER THE QUESTIONS BELOW (MANDATORY) Q1. What kind of Electronics Hardware Products you are looking for / or wish to source. Pl. mention? Q.2. Your total import of Electronics Hardware Products during the last three years ( in USD ) 2011-12------ 2012-13------ 2013-14------PLEASE NOTE THAT THIS PROFORMA SHOULD BE DULY FILLED (TYPED) IN MS WORD FORMAT AND EMAIL TO esc@escindia.com II