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Visitor Registration Form

Please attach your visiting card and tell us more about yourself by filling in the form Your Name: _____________________________________________________________________________________________________ Company Name: _________________________________________________________________________________________________ Address: ________________________________________________________________________________________________________ Address: ________________________________________________________________________________________________________ City: ______________________________ State: _____________________ Country: ____________________ Pin code: _____________ Tel1: ____________________________ Tel2: ________________________________ Fax: ______________________________

E-mail: _________________________________________________________________________________________________________ Website: _______________________________________________________________________________________________________

Designation

q q q

Department

CEO Consultant / Advisor Technician / Foreman

q Dept Head / Manager q Engineer / Executive q Others (Please specify): q R&D q Marketing q Others (Please specify): q 10 ­ 49 q 50 and above q Maintenance q Design & Development

q q q q

Purchase Production General Management 1­9

No of employees in your organisation

Annual turn over

q

1 ­ 99 crores

q 100 ­ 499 crores

q 500 crores and more

Proposed investment in next year

q

Upto 1 crore

q 1 ­ 50 crores

q

50 ­ 100 crores

q Above 100 crores

How did you know about Exhibition

q q q

Date:

Direct mailing Magazine advertisement Others (Please specify):

q q

Newspaper advertisement Brochure

Signature:

*The Signatory hereby authorizes Infomedia India Ltd to use the information contained herein for maintaining their database as well as for any other purpose that Infomedia India Ltd may deem fit.

Information

Visitors_registration _1_.PDF

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