19 Oct 2012 Bombay Exhibition Centre, Mumbai, India th DELEGATE REGISTRATION 8.30AM ONWARDS First Name:-_________________________________________ Surname:____________________________________________________ Designation/Job Title:_______________________________ Department: _________________________________ Company Name:____________________________________ Company/Personal Website:______________________________________ Correspondence Address:__________________________________________________________________________________________ City:_____________________ Pin:_________________ State:___________________ Country:_______________________ Email:_______________________________ Mobile:_______________________Fax:__________________________ Phone(Office):____________________________Phone(Home):____________________________ (Include your country and area code) DELEGATE REGISTRATION FEE: Corporate: Rs.10, 000.00 I Exhibitor / Association : Rs.6, 000.00 Please find enclosed our Cheque / DD No.________________________________ Drawn On_______________ For INR ___________________________ for _________________no. of delegate registrations. _____________________(Signature & Company Stamp) Cheque should be in favour of “Asian Business Exhibition & Conferences Ltd.” Delegate Registration Form 2012 REGISTRATION OPTIONS: By Email-Scan and Email the completed form to [email protected]. For additional registration, Kindly photocopy this form and fill in the details and courier the form and documents to The Economic Times ACETECH secretariat. FOR MORE DETAILS CONTACT: Amrita: +91 9920528280 I Valerie: +91 9920085555 (Kindly attach your visiting card / All fields are compulsory) Salutation:Arch./Prof./Dr./Mr./Mrs./Miss (Mention as appropriate) The Economic Times ACETECH 2012 Desk: Asian Business Exhibion & Conferences Ltd. 530, Laxmi Plaza, Laxmi Ind. Estate, New Link Road, Andheri West, Mumbai 53, India | Ph.No: +91 22 66814800 | Fax: +91 22 2636 7676 | Email: [email protected] | Website: www.etacetech.com

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19 Oct 2012 Bombay Exhibition Centre, Mumbai, Indiath

DELEGATE REGISTRATION 8.30AM ONWARDS

First Name:-_________________________________________ Surname:____________________________________________________

Designation/Job Title:_______________________________ Department: _________________________________

Company Name:____________________________________ Company/Personal Website:______________________________________

Correspondence Address:__________________________________________________________________________________________

City:_____________________ Pin:_________________ State:___________________ Country:_______________________

Email:_______________________________

Mobile:_______________________Fax:__________________________

Phone(Office):____________________________Phone(Home):____________________________

(Include your country and area code)

DELEGATE REGISTRATION FEE: Corporate: Rs.10, 000.00 I Exhibitor / Association : Rs.6, 000.00

Please find enclosed our Cheque / DD No.________________________________ Drawn On_______________

For INR ___________________________ for _________________no. of delegate registrations.

_____________________(Signature & Company Stamp)

Cheque should be in favour of “Asian Business Exhibition & Conferences Ltd.”

Delegate Registration Form 2012

REGISTRATION OPTIONS:By Email-Scan and Email the completed form to [email protected] additional registration, Kindly photocopy this form and fill in the details and courier the form and documents to The Economic Times ACETECH secretariat.

FOR MORE DETAILS CONTACT:Amrita: +91 9920528280 I Valerie: +91 9920085555

(Kindly attach your visiting card / All fields are compulsory)Salutation:Arch./Prof./Dr./Mr./Mrs./Miss (Mention as appropriate)

The Economic Times ACETECH 2012 Desk: Asian Business Exhibi�on & Conferences Ltd. 530, Laxmi Plaza, Laxmi Ind. Estate, New Link Road, Andheri West, Mumbai 53, India | Ph.No: +91 22 66814800 | Fax: +91 22 2636 7676 | Email: [email protected] | Website: www.etacetech.com