Document Sample
Registration details

Sr. No.
1. 2. 3. 4.


Last Name

First Name

Middle Name


Names as you would like to be printed on your convention Badge. Please restrict to 15 characters only. This will be printed on the badge. Please write accordingly and in capital letters. Name of the Delegate :

Name of Spouse :

Name of Accompanying Person :

Name of Accompanying Person :

Payment Details :
• Delegate registration Fee • Hotel Booking Charges Rs : Rs : Total Rs :

• Registration form along with Demand Draft of the requisite amount (payable at a Nashik) will have to be drawn in favor of ‘AOI – Nashik Branch’ and should be sent to the address in the given envelope. • Hotel Booking should include tariff for duration of stay in advance. • The fee for delegates includes convention kit, attendance for all functions, lunches and dinners as per the attached convention program. • Every delegate must fill form to enable us to make badges and other arrangements. • Acknowledgement will be sent to all confirmed registrations. This will be required for obtaining the convention hotels as well as for collecting the convention kit, badges and meal coupons. • The registration form may be copied for additional requests.

Payment Details
Charges per (Rs.) Conference Details
No. of Delegates Spouse Accompanying persons Accompanying child Guests

Amount (Rs.)

Total Amount

Total for conference (Rs.)
Accommodation Type of room
Single - Standard Single - Executive Single - Suites Double -Standard Double-Executive Double - Suites Extra Bed Total for Accommodation (Rs.) Total payment to be made

At 1st preferred Hotel Nos. of nights

Arrival Date & Time Charges per (Rs.)

Departure Date & time Amount (Rs.) Total Amount

Conference + Accommodation

• Please book my accommodation at the hotel as indicated above. • I shall not be staying at Convention Hotel and will stay at : ______________________________

Enquiry for Hotel Accommodation Hotel Emerald Park : (0253) 2580777 / 2572233 Email :