Untitled Document

Corporate (additional 10.3% services tax)

DELEGATES	INDIAN	*FOREIGN
CORPORATES Upto 3 Delegates from the same company	Rs. 10,000/- per delegate	**US $ 400/- per delegate
CORPORATES For 4 or more Delegates	Rs. 9,000/- per delegate	**US $ 360/- per delegate
ACADEMIA	Rs. 4,000/- per delegate	**US $ 200/- per delegate

FICCI Members (additional 10.3% services tax):

DELEGATES	CORPORATE MEMBERS	ASSOCIATE MEMBERS
Delegate Fees	Rs. 7,500/- per delegate	Rs. 8,500/- per delegate

Academia (additional 10.3% services tax):

DELEGATES	INDIAN	*FOREIGN
ACADEMIA	Rs. 4,000/- per delegate	**US $ 200/- per delegate

Registration Form:

Delegate Type

FICCI Membership(Select-One)(If FICCI Member)

Membership ID

Name

Designation

Select Number of Delegates

Organisation

Mailing Address

City

ZIP/PIN Code

Country

Passport Details (For Foreign Delegates Only)

Passport No
Date of Issue	(mm/dd/yyyy)
Date of Expiry	(mm/dd/yyyy)
Issuing Authority/Place/Country

Telephone (with countrycode)Mandatory

Mobile

Fax

Website