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DELEGATE REGISTRATION FORM Email : [email protected] 3. Particulars of Accompanying Spouse i) Name: ii) Blood Group: Gender: M F iii) Food Preference: Vegetarian Non-vegetarian Jain Please read the codes and instructions given overleaf carefully before filling out the form. Fill out the form in capital case only. i) First Name: Last Name: 1. Particulars of Delegate ii) Gender: M F DOB: Blood Group: iii) IIF Membership No.: iv) *Delegate Code: *Profession Code: v) Food Preference: Vegetarian Jain Non-vegetarian vi) Presenting a Paper Yes No Title of the Paper______________________________________________ * Please Refer Point No. 9. for the Codes Member Non-member Name on Badge: 2. Address & Other Details I) **Designation: ii) **Company / Institution: iii) **Address: State: Pin / Zip Code: ** Mandatory Fields *** Please Provide the Country Code and STD Code v) **Mobile: vi) E-mail: iv) ***Telephone: Country: THE INSTITUTE OF INDIAN FOUNDRYMEN WESTERN REGION | HELIPAD GANDHINAGAR, AHMEDABAD - INDIA 70 th INDIAN FOUNDRY CONGRESS iv) Telephone : v) City : 17-18-19 APRIL 2022

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Page 1: delegate registration form 5 - ifcindia2022.com

DELEGATE REGISTRATION FORM

Email : [email protected]

3. Particulars of Accompanying Spouse

i) Name:

ii) Blood Group: Gender: M F

iii) Food Preference: Vegetarian Non-vegetarian Jain

Please read the codes and instructions given overleaf carefully before filling out the form. Fill out the form in capital case only.

i) First Name: Last Name:1. Particulars of Delegate

ii) Gender: M F DOB: Blood Group:

iii) IIF Membership No.:

iv) *Delegate Code: *Profession Code:

v) Food Preference: Vegetarian Jain Non-vegetarian

vi) Presenting a Paper Yes No Title of the Paper______________________________________________

* Please Refer Point No. 9. for the Codes

Member Non-member

Name on Badge:

2. Address & Other Details

I) **Designation:

ii) **Company / Institution:

iii) **Address:

State: Pin / Zip Code:

** Mandatory Fields *** Please Provide the Country Code and STD Code

v) **Mobile:

vi) E-mail:

iv) ***Telephone:

Country:

THE INSTITUTE OF INDIAN FOUNDRYMENWESTERN REGION

22-23-24 APRIL, 2022 | HELIPAD GANDHINAGAR, AHMEDABAD - INDIA

70th INDIAN FOUNDRY CONGRESS

iv) Telephone :v) City :

17-18-19 APRIL 2022

Page 2: delegate registration form 5 - ifcindia2022.com

Email : [email protected]

Date :____________________ Signature :____________________

* Cheque / Demand Draft at par should be drawn in favour of “The Institute of Indian Foundrymen - 70th IFC ” payable at Kolkata.

4. Payment Details

#Date of Arrival ____________________________________________________________________________

#Date of Departure _________________________________________________________________________

i) Currency Used: USD

Payment Made at Par Cheque / DD No.: Dated:

Branch

Bank

Delegate: $

iii) GSTIN NO:

vi) Total Amount:

iv) PAN NO:

v) ADHAR NO:

$

Accompanying Spouse: $

ii) Registration Fee - Category: (Please refer to point 6 for fee details)

Member

Student Member

Non-member

Member Company

Foreign Author

Foreign Delegate

Delegate (Technical, R&D Institution)

Indian Author

National Council Member

10

11

12

13

14

15

16

17

01

02

03

04

05

06

07

08

09

Casting Manufacturer (Fe)

Casting Manufacturer (Non-Fe)

Casting Buyers

Foundry Material Supplier

Foundry Equipment Supplier

Consultant

Institution

Any Other (Please Specify)

edoC noisseforP1 metI edoC etageleD 1 metI Code Code

5. Delegate & Profession Codes

Page 3: delegate registration form 5 - ifcindia2022.com

Email : [email protected]

11800

10620

14160

9440

2360

350

320

6. Registration Fees

Registration fees will be refunded back within one month, (excluding GST) in case of event cancellationdue to pandemic

Terms & Conditions:1. Above rates are inclusive of 18% GST or applicable taxes2. Registration fees include 2 dinners, 3 lunches and tea for all categories3. Registrations online is open4. This year registration fees are reduced by INR 1000/- compared to previous physical event of 20205. IIF reserves the right to registration6. Kit bags will be subject to availability for the delegates registered after 25th March 2022 (However, hospitality coupons will be provided)7. Confirmation of Registration will be sent after realization of payment8. Pick up and drop off facilities will be available to all registered delegates between designated hotels & congress venue9. In lieu of the Govt. guidelines, organizing team reserves the right to short close or extend the last date of registration. Register early and do not miss the opportunity for Business Beyond Boundaries10. Before booking the tickets, please refer the details of pre congress tours for sightseeing11. Due to pandemic, all factories are not permitting group visits, hence we have not scheduled any Works Visit during this Congress12. No extra charge for any technical session13. All registered delegates to receive a physical copy of Foundry Technica14. For any techincal queries relating to registration, kindly write to us at [email protected]

Del.Code

ycnerruCyrogetaCBefore

25/03/2022(Rates incl. of 18% GST)

D1

D2

D3

D4

D5

D6

D7

D8

IIF Members / NC Members

Indian Authors / Educational Institutes

Non IIF Members

Foreign Delegate

Foreign Authors / Accompanying Spouses

Accompanying Spouses (All categories)

IIF Student Members (without kits, with FixedAmount of Hospitality Coupons of Cafeteria)

IIF Company Members( for 3 or more delegates per company)

8260(per delegate)

8850

8260

11800

7080

1770

300

260

INR

INR

INR

INR

INR

INR

USD

USD

After25/03/2022

(Rates incl. of 18% GST)

11800(per delegate)

Page 4: delegate registration form 5 - ifcindia2022.com

70th Indian Foundry Congress,11 B, Prashant Society, Nr. Jaju Hospital Crossroad, Nr. Som Lalit School, Navrangpura - 380014Phone : +91 93168 80063Email : [email protected] Web : www.ifcindia2022.com

Please Send Hard Copies / Offline Forms / Cheques, etc., to the Following Address:

8. For office use

Registration No.: Application Serial No.:

Amount Payable: Date:

Amount Received:

Balance Due:

No. of Persons Registered:

For Clarifications Refer To : Organizing Chairman Hon.Secretary

Email : [email protected]

Online registration is preferred for prompt response.Kindly log onto www.ifcindia2022.com and register (Processing fees may apply)

7. Instructions

All payments should be made by Online Transfer / DD / Cheque at parAccount Name : The Institute of Indian Foundrymen – 70 TH IFCAccount No. : 098301002956IFSC Code : IClC0000983 MICR Code: 700229034

Foreign delegates and speakers may register in advance. They may, however, pay on arrival at RegistrationDesk in cash or by card.

Considering constrains of the resources, registration will be closed once the number of registrations is reached.Organizing team reserves the rights to short close or extend the last date of registration

On spot registration may not be available, so please register in advance.

Confirmation of registration will be sent only after realization of payment.

A registered delegate will receive a Pen drive of Technical Papers and hard copy of “Foundry Technica Volume”

During event days (22,23,24 April 2022), limited pick-up and drop off facilities will be available to the registered delegates between recommended hotels / pick-up points to Congress venue and back to the hotel / drop off points on SIC basis.

Kindly register before March 25, 2022 and secure your participation.