SOUVENIR ADVERTISEMENT BOOKING FORM XXXIV DAIRY INDUSTRY CONFERENCE February, 17th – 19th 2010 1. Name of the organization _________________________________________________ 2. Address : ______________________________________________________________ ______________________________________________________________________ 3. Tel (O) : _____________________________ E-mail : ___________________________ Contact Person : ___________________________ Mobile : _____________________ 4. Sponsorship Tariff SOUVENIR ADVERTISEMENT TARIFF (inclusive of service tax) Particulars Ad Size Tariff in Rs. 50,000 Back Cover (Colour) Trim Area 28 cm x 21.5 cm Print Area 25.5 cm x 19 cm 25.5 cm x 19 cm 35,000 Inside Front & Back Cover (Colour) 28 cm x 43 cm 40,000 Double Spread (Colour) Trim Area 25.5 cm x 40 cm Print Area 25.5 cm x 19 cm 20,000 25.5 cm x 19 cm 12,000 Full Page (Colour) 12 cm x 19 cm 10,000 Full Page (B&W) 12 cm x 19 cm 7,500 Half Page (Colour) Half Page (B & W) (US$) 1100 820 1000 500 300 250 200 Last Date for receiving Advertisement Material by Email / CD is 5th Feb 2010 PAYMENT MODE : Payment can be made at any branch of Vijaya Bank OR By Demand Draft Payable to XXXVIII Dairy Industry Conference Branch Account Number : 100101011001804 IFSC Code Number: VIJB0001001 : Vijaya Bank, Adugodi, Bangalore – 560030 Dr K T Sampath Chairman, Souvenir Committee XXXVIII Dairy Industry Conference, IDA House, National Dairy Research Institute, Adugodi, Bangalore – 560 030 Phone : 080-32544547 / 080 – 25711303; Fax : 080 – 22122927 / 080 – 25711420 / 080 – 25710161 Email : dicbng2010@gmail.com / ktsampath@sify.com, Web : www.idasz.org EXHIBITION STALL BOOKING FORM XXXIV DAIRY INDUSTRY CONFERENCE February, 17th – 19th 2010 1) Name of the organization _________________________________________________ 2) Address : ______________________________________________________________ ______________________________________________________________________ Tel (O) : _____________________________ E-mail : ___________________________ Contact Person : ___________________________ Mobile : _____________________ 3) Items proposed to be displayed with value : (please note that no item of inflammable nature or hazardous for human health or the environment, is permitted for display) 4) Will the displayed items be sold on the spot ? Yes No 5) If yes, please specify applicable CST / LST _________________________________________ 6) Tariff for 3 days (February, 17th – 19th 2010) EXHIBITION STALL BOOKING FEE (Inclusive of service tax) Particulars Unit Size (Cubicle) Tariff (Rs.) Covered Stall with 2 / 3 light points, one 3 m x 3m 50,000 5 amp, AC plug point, one table, two chairs ( About 40 stalls totally ) 3mx4m 55, 000 - do - ( 10 Stalls ) The tariff is inclusive of service tax. Tariff (US$) 1500 1500 1. Space required : Number of Units ________________________ Size _________________ 2. Details of payment INR / US$ ___________________ paid vide DD No. ______________ Dated : ________________ Drawn on ____________________________bank, in favour of XXXVIII Dairy Industry Conference, Payable at Bangalore Stalls will be booked on ‘first serve’ basis only.( Lay out Design over leaf , X indicate booked stalls ) Date : ________________________________ Signature _________________________ Sri Ravi Kumar Kakade Chairman , Exhibition Committee Cell: 9845534987 XXXVIII Dairy Industry Conference, IDA House, National Dairy Research Institute, Adugodi, Bangalore – 560 030 Phone : 080-32544547 / Cell: 9845534987 Fax : 080 – 22122927 / 080 – 25711420 / 080 – 25710161 Email : dicbng2010@gmail.com / motherdairymd_kmf@yahoo.com DELEGATE REGISTRATION FORM XXXIV DAIRY INDUSTRY CONFERENCE February, 17th – 19th 2010 Registration Fee : IDA Member : Rs 1500/- Non Member : Rs 2500/Students / Senior Citizens / Farmers : Rs 900/- Foreign Delegate : US$ 50 1. Name of the Person & organization ____________________________________________________ 2. Occupation __________________________________________ 3. Address : _________________________________________________________________ _________________________________________________________________________ Tel (O) : _____________________________ E-mail : _____________________________ 4. IDA Membership No. _________________________________ (for IDA members only) 5. Arrival details : __________________ Date : ____________ Train Flight No. __________ 6. Address of stay in Bangalore : ________________________________________________ _________________________________________________________________________ 7. Departure details : _________________ Date : ____________ Train Flight No__________ 8. Details of payment INR / US$ _________________ paid vide DD No. ______ ____ Dated : ________________ Drawn on ______________________bank, in favour of XXXVIII Dairy Industry Conference, Payable at Bangalore 9. Please Note that if overwhelming response is witnessed, there will not be spot registration . 10. Accompanying Members are not entitled to get the registration kit however they can enjoy the local hospitality. The payment for accompanying member is Rs. 800 / head, for 3 days. Date : ________________________________ Signature _________________________ Dr P.A.Shankar Chairman, Registration Committee Cell: 9845165547 XXXVIII Dairy Industry Conference, IDA House, National Dairy Research Institute, Adugodi, Bangalore – 560 030 Phone : 080-32544547 / 080 25710661 – 664 Extn 330 ; Fax : 080 – 22122927 / 080 – 25711420 / 080 – 25710161 Email : dicbng2010@gmail.com / shankarpa46@gmail.com Web : www.idasz.org HOTEL BOOKING FORM XXXIV DAIRY INDUSTRY CONFERENCE February, 17th – 19th 2010 1 Name ___________________________________________________________________ 2 Details of persons accompanying (if any) _____________________________________ 3 Address : _________________________________________________________________ _________________________________________________________________________ Tel (O) : _____________________________ Mobile : _____________________________ Fax : ________________________________ E-mail : _____________________________ 4 Hotel Name : ______________________________________________________________ 5 Type of accommodation required : Single Double 6 Duration of occupancy (check out time 1200 hrs) : _________________________________ 7 Arrival details : Date : ____________ Train Flight No. __________ Time ______________ 8 Departure details : Date : ____________ Train Flight No. __________ Time ______________ 9 Details of payment INR / US$ ___________________ paid vide DD No. ______________ Dated : ________________ Drawn on ____________________________bank, in favour of XXXVIII Dairy Industry Conference, Payable at Bangalore enclosed. 10 Hotel booking will be made only after receipt of 100% advance payment. 11 The delegates will be responsible for the final settlement of the hotel bills. 12 The delegates are also suggested to book directly based on their requirement. 13 The advance booking of Accommodation is desirable. 14 List of a few Hotels around the Venue with relevant details are indicated over leaf. Date : ________________________________ Signature _________________________ Sri. K.L.Gajendra Chairman, Accommodation & Transportation Committee Cell: 9449867400 XXXVIII Dairy Industry Conference, IDA House, National Dairy Research Institute, Adugodi, Bangalore – 560 030 Phone : 080-32544547 / 080 25710661 – 664 Extn 330 ; Fax : 080 – 22122927 / 080 – 25711420 / 080 – 25710161 Email : dn_das@rediffmail.com, mtalware@gmail.com, dicbng2010@gmail.com Web : www.idasz.org LIST OF HOTELS AND TARIFFS AT BANGALORE Hotel & Location Contact details HIGH BUDGET (Rs. 1,000 and above) 080-22205205, 080-41136157, 080-41136158, Hotel Atria P. B. No. 5089, No. 1, Palace Road, 080-41136159 e-mail: rooms@atraihotel.com Bangalore – 560001 www.atraihotel.com 080-40155900 The May Flower 283/19, 11th cross, Wilson Garden, e-mail: hotelmayflower@gmail.com Bangalore 560027 www.mayflowerhospitality.com 080-42126669, 080-42350156, 080-42350157, 080-42350158 Hotel Khykha Residency #51, K. H. Road (Double Road), Opp. 080-42350159, 080-42350160 hotelkhykharesidency@gmail.com Big bazaar, near New MBTC Bus Stand, www.khykharesidency.com Bangalore -560027 MEDIUM BUDGET (Rs. 750 to 1200) 080-41106000 The Libra #11/1, Near Christ College, Hosur main e-mail: thelibra@vsnl.net Road, Bangalore 560029 www.thelibrahotel.com 080-22249694, 080-22249695, 080-22249696, Sabharwal Inn 45/1, 11th Cross, Opp. Janatha Hotel, 080-22127696, 9343751791 Wilson Garden Bangalore - 560027 080-22109771 Raj Residency No. 47/2, 16th cross Lakkasandra 080-22101027 Bangalore –560030 (Near Chodeswari 9945567978 temple in the line opposite NIMHANS e-mail: md@citibite.com Convention centre www.rajbangalore.com Hotel Bon Sabharwaal Residency, 080-22248655, 080-22248656 #90, K.H. Road (Double Road) Opp. 080-22248657, 080-22248658 KSRTC Office, Bangalore – 560027 080-22106855, 080-22106856, 080-22106857, 080-22106858 Deva Residency 99, K. H. Road (Double Road), Opp. 080-22106859, 9379031509 KSRTC Admin. Office, Bangalore 27 devaresidency@yahoo.co.in www.hoteldevaresidency.com 080-22248655, 080-22248656 Hotel Bon Sabharwaal Residency, #90, K.H. Road (Double Road.) Opp. 080-22248657, 080-22248658 KSRTC Office, Bangalore –560027 080-22106855, 080-22106856, 080-22106857, Deva Residency 99, K. H. Road (Double Road), Opp. 080-22106858, 080-22106859, 9379031509 KSRTC Admin. Office, Bangalore 27 devaresidency@yahoo.co.in www.hoteldevaresidency.com 080-42122355, 080-42122366 R R COMFORT INN #82/83, 4th Cross, Bhavani Layout 080-42123777, 099801 42555 Off Bannerghatta Road, Bangalore rrci.raaj2gmail.com Joel P. Nivas Tanquille Service Apartments #22/5, 8th cross, Chakkadugodi 96862 22992 Taverekere Main Road, Bangalore - 29 9880591697 Sri Kaveri Comforts 1/18, The Residency, Gajendra Nagar, Rohith.nayak812gmail.com Anepalya Main Road, Bangalore 560030 Sri. Ganga Sagar 080-25704880 Opp. Passport & NDDB Office, #3, YSR 9448762142 Mansion, 80 Feet Raod, 8th Block, hotelgangasagar@yahoo.co.in Koramangala, Bangalore - 560095 LOW BUDGET (Rs. 300 TO 600) 080-41668388 Pearl Residency No. 28 Park Area, 10th Cross, Wilson 93412639595 Garden 9945829181 080-32410756 Indian Residency #75, 3rd Cross, 1st Main Raod, 25922859 Arekempanhalli, Opp. 10th cross, Wilson 9945829191 Garden, Bangalore 560027 (Behind 9986126776 petrol bunk, near to PK Travels Garage) indianresidency@yahoo.co.in 080-32410756, 25922859 Hotel Revoli Opp. Big Bazar, K. H. Road Double 99458291919986126776 Road, Bangalore – 560027 indianresidency@yahoo.co.in POSTER PRESENTATION FORM XXXIV DAIRY INDUSTRY CONFERENCE February, 17th – 19th 2010 1 Title of paper : ________________________________________________________________ 2 Name of author : _____________________________________________________________ 3 Mailing Address : ____________________________________________________________ ____________________________________________________________________________ Tel (O) : _____________________________ Mobile : ________________________________ Fax : ________________________________ E-mail : ________________________________ 4 Organisation represented : ______________________________________________________ 5 Name (s) of Co-author(s) : ______________________________________________________ ____________________________________________________________________________ 6 Name of author presenting the paper : _____________________________________________ 7 Registration details : __________________________________________________________ Abstract (please limit the abstract to 200 words) Last Date for receipt of abstract : January 25th 2010 Guidelines : 1 2 3 4 5 Only registered delegates will be allowed to present posters at the conference. A registered delegate can present only one poster. The name of the author presenting the paper should be underlined. A pin board size 2.5 x 3.5 ft will be made available. Two hard copies along with a soft copy floppy / CD containing the text file are to be sent before the last date. 6 The envelope be super scribed ‘POSTER PAPER’. 7 Date and time of presentation will be communicated before 28th January 2010. 8 Acceptance for presentation is subjected to review by the technical committee. Dr G.S.Bhat Chairman, Poster Presentation Committee Cell: 9886740835 XXXVIII Dairy Industry Conference, IDA House, National Dairy Research Institute, Adugodi, Bangalore – 560 030 Phone : 080-32544547 ( Direct ) / 080 25710661 – 664 Extn 330 ; Fax : 080 – 22122927 / 080 – 25711420 / 080 – 25710161 Email : dicbng2010@gmail.com / Web : www.idasz.org SPONSORSHIP FORM XXXIV DAIRY INDUSTRY CONFERENCE February, 17th – 19th 2010 1. Name of the organization _________________________________________________ 2. Address : ______________________________________________________________ ______________________________________________________________________ 3. Tel (O) : _____________________________ E-mail : ___________________________ Contact Person : ___________________________ Mobile : _____________________ 4. Sponsorship Tariff Particulars Platinum Sponsor Gold Sponsor Silver Sponsor Session Sponsorship Lunch / Dinner Sponsorship Registration Kit Sponsorship Note Pad Sponsorship Amount (Rs) 10.00 lakhs 5.00 lakhs 3.00 lakhs 1.00 lakh 2.00 lakhs 4.00 Lakhs 0.75 lakhs 5. Details of payment INR / US$ ___________________ paid vide DD No. ______________ 6. Dated : ________________ Drawn on ____________________________bank, in favour of XXXVIII Dairy Industry Conference, Payable at Bangalore Date : ________________________________ Signature _________________________ Dr P.K.Dixit Organizing Secretary Cell: 9448755737 XXXVIII Dairy Industry Conference, IDA House, National Dairy Research Institute, Adugodi, Bangalore – 560 030 Phone : 080-32544547 ( Direct ) / 080 25710661 – 664 Extn 330 ; Fax : 080 – 22122927 / 080 – 25711420 / 080 – 25710161 Email : dicbng2010@gmail.com / drpkdixit@gmail.com Web : www.idasz.org