REGISTRATION DETAILS :

CII Members	Rs. 6,000
CII Non-members	Rs. 7,000
Institutes / Academicians	Rs. 4,500
Overseas Delegate*	USD 175
* (Overseas delegate fee has to be paid in CASH in INR at the venue. The converted amount of USD 175 is Rs. 7,000/-). PAYMENT THROUGH CREDIT CARD IS NOT ACCEPTABLE.

We are nominating the following from our organization to attend the Technology Summit:

	Name of the Participant	Designation
1.
2.
3.
4.

Enclosed is a Cheque /DD No for Rs. drawn in favour of "Confederation of Indian Industry - New Delhi" towards delegate fee.

Name:		Designation:
Company:		E-mail:
Address:
Tel:		Fax:
Signature:		Date: