ICC India Minerals and Metals Forum scheduled on 7th August, 2014 at The Hyatt Regency, New Delhi.

 

DELEGATE REGISTRATION FORM:

 

3^rd India Minerals & Metals Forum

Indian Chamber of Commerce

7^th August, Hyatt Regency, New Delhi

 

 Registration Timings: 0930 Hrs to 1000 Hrs

 

Registration Form

The following Participant / Participants will attend the conference

 

Name:_______________________________    Designation:_____________________   Name:________________________________  Designation:______________________   Name:________________________________  Designation:______________________ Note – Copy of Identity Proof is mandatory

Delegate Participation Fees

 

ICC Member	INR 3000/ Delegate
Non Member	INR 3,500/ Delegate
Overseas Participant	US$  100 / Delegate

 

Name of the Organization ______________________________________________________

 

Address:_______________________________________________________________

 

Phones (With Code): ____________________

 

Fax :_________________________                                E-mail : ____________________

 

Nominated By::__________________________             Designation:______________________

 

Mobile (mandatory) _____________________              E-mail_______________________

Cheque / DD of  Rs _________________________ in favour of “Indian Chamber of Commerce” Payable at Kolkata

 

Cheque / DD No____________________________ Dated______________________________________

 

Drawn On (Bank) ______________________________________________________________________

 

Date:                            Signature

 

PRIOR REGISTRATION AND PAYMENT IS MANDATORY

For further details please contact:

Ms Suranjana Moitra, Executive

Indian Chamber of Commerce, ICC Towers, 4, India Exchange Place, 8^th Floor, Kolkata: 700001; Phone: 033 2253 4293 (D) / 2230 3242 – 44, Mob: 9874264503, Fax: 033 2231 3377/3380; E-mail: icc3@indianchamber.net

For More Information: www.Indianchamber.net