CII Mission on Technology, Innovation and Industry 4.0
Monday – Friday, 15 – 19 October 2018, Germany and Austria
Registration Form
Reply to :
Sangita Das
Passport size photo in .JPG
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Confederation of Indian Industry
CII Naoroji Godrej Centre of Manufacturing Excellence
Godrej Stationside Colony, Vikhroli (East)
Mumbai - 400079
Tel: +91-22- 2574 5146 Extn 24
Email: sangita.das@cii.in
Please tick
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I confirm my participation for the CII business delegation (Pls Tick √)
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Name:
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Designation:
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Company Name & Address:
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Telephone:
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Fax:
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Mobile No :
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Email:
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Dietary preference (please tick) : Vegetarian / Non-Vegetarian
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Secretary’s Name: (for communication purpose only)
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Secretary’s Email and Mobile number:
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Passport Details
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First Name (as in Passport)
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Last Name (as in Passport)
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Passport No.
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Date of Issue:
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Place of Issue:
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Date of Expiry:
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Credit Card details (for hotel reservation confirmation)
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Card No:
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Validity:
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Bank:
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Bio-data
Please attach bio-data (approx. 150 words) and the Company profile (150 words) in the format given below:
PERSONAL PROFILE:
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COMPANY PROFILE:
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Please send us both the soft copy and physical copy of the Reply Form, with a copy of your Passport [ first and last pages]
Payment
The package price for the Mission per participant is as follows –
TWIN Sharing
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INR 1,10,000/- plus applicable taxes
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SINGLE Occupancy
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INR 1,50,000/- plus applicable taxes
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Please note that this package cost is based on current accommodation costs and may likely have revisions.
Please note further that flight tickets are not a part of this package, due to the dynamic nature of the ticket pricing. In case, you would like Orbit to arrange for the tickets as well, do let us know. We will get you connected to them.
In case, participants require Orbit Tours to arrange for their flight tickets as well, please tick mark accordingly. We will connect you to Orbit Tours.
I/ We would like Orbit Tours to arrange for my flight tickets for this visit **
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I/ We will arrange for the tickets myself ***
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[** In case, flight tickets are being arranged by Orbit Tours, the payment for the tickets only have to be made to Orbit directly. The package price for other arrangements (as mentioned at the top of this page) will have to be paid to CII.
*** In case, flight tickets are being arranged by participants themselves, they only need to pay the package price (as mentioned at the top of this page) to CII]
[All inclusions and exclusions of the package rate are mentioned in the EBrochure shared in the mail,]
Please find enclosed a cheque for -------------------- dated -----------------------drawn in favour of Confederation of Indian Industry.
Payment can also be made by NEFT transfer at our ICICI Bank Ltd., details of which are given below :
NAME & ADDRESS OF BANKERS
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ICICI BANK LTD
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PRABHADEVI BRANCH
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GROUND FLOOR, KALA ACADEMY RAVINDRA NATYA MANDIR
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PRABHADEVI
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MUMBAI – 400 028
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NAME OF THE ACCOUNT
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CONFEDERATION OF INDIAN INDUSTRY
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TYPE OF ACCOUNT
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CURRENT A/C
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BANK ACCOUNT NO. WITH BANK
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005705017995
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NEFT / IFSC / RTGS CODE
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ICIC0000057
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MICR CODE
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400229013
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PAN NUMBER
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AAATC0188R
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SERVICE TAX REGISTRATION CODE (15 DIGITS ONLY)
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AAATC0188RST004
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Miscellaneous Information
- The visits will start on 15 October 2018 (morning) in Nuremberg, Germany. Members are requested to be present at Nuremberg by early evening of 14 October 2018 at least.
- The delegation will leave for Mumbai from Salzburg, Austria via Frankfurt, Germany on morning of 20 October 2018.
- The delegates are requested to attend all business engagements as scheduled. The Programme will be shared with you closer to the visit
- The dress code is formal, unless mentioned otherwise.
- Local surface transport for delegation members will be on shared basis at all locations.