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2nd Edition Industry 4.0 Summit Improving Competitiveness in Manufacturing using AI & IoT
Date: 12 September, 2019
Time: 0900 to 1330 hrs
Venue: Hotel Crowne Plaza, Ahmedabad
____________________Registration Form____________________
Delegates Fee Per Person:
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One Delegate Fee Rs. 1,000/- + 18% GST = Rs. 1180/-
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Discount details
10% Discount on more than three delegates registration from the same company
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* Delegates Fee is excluding payment processing fees
Company / Organization Name *
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Nominating Authority Name & Designation *
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Nominating Authority Email & Mobile *
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Address including Pin code and State *
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GST Number - If you do not have GST Number Kindly Mentioned in Box "Not Registered" *
Your answer
Sector Name - e.g. Automobiles, Pharmaceuticals etc. you can also mention more than one sector name *
Your answer
Details of First Delegate
Name *
Your answer
Designation *
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E-mail *
Your answer
Mobile No *
Your answer
Details of Second Delegate - Optional
Name
Your answer
Designation
Your answer
E-mail
Your answer
Mobile No
Your answer
Details of Third Delegate - Optional
Name
Your answer
Designation
Your answer
E-mail
Your answer
Mobile No
Your answer
To do payment through Debit Card/ Credit Card/ Net Banking kindly click on below link
https://eazypay.icicibank.com/eazypayLink?P1=WE6gLinE5ApvHiDbZcorNQ==


*After doing payment kindly fill this form with payment details and Submit

* Delegates Fee is excluding payment processing fees
The payment can be made online through NEFT. The details for making online payment are as follows:-
Name of Account Holder: Federation of Indian Chambers of Commerce and Industry

Complete Bank Account No: 058601000851

IFSC Code: ICIC0000586

Bank Name: ICICI Bank

Complete Contact Address: 100 Ft Road Branch, Prahladnagar, Ahmedabad



*After doing payment kindly fill this form with payment details and Submit

* Delegates Fee is excluding payment processing fees
The payment can be made by Cheque.
Last date for payment by cheque is 4th September, 2019

Party Name : FICCI

Kindly send cheque to below address

Federation of Indian Chambers of Commerce & Industry (FICCI)-Gujarat State Council A-311, Safal Pegasus, Prahlad Nagar, 100 Ft Road, Ahmedabad – 380 015, T: 079-2693 7582-81


*After doing payment kindly fill this form with payment details and Submit
* * Kindly send us scan copy of cheque and courier details.
Payment Details
Amount Paid *
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Payment Date *
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Kindly Mentioned Mode of payment Like "Debit Card, Credit Card, Net Banking and it's transaction number (In case you do NEFT payment please provide UTR number and In case you do payment by cheque please provide cheque number) *
Your answer
For Further Assistance Contact Mr. Sunmeetsing Brar

Federation of Indian Chambers of Commerce & Industry (FICCI)-Gujarat State Council A-311, Safal Pegasus, Prahlad Nagar, 100 Ft Road, Ahmedabad – 380 015

T: 079-2693 7582-81-83

Email: sunmeet.brar@ficci.com

W: www.ficci.com
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