DELEGATE REGISTRATION FORM

Paperex'2011 - 10th International Technical Conference on Pulp, Paper, Conversion and Allied Industry

December 10-12, 2011, Pragati Maidan, New Delhi, India

Please complete in BLOCK CAPITALS

Company/Organization	________________________________________
Name	________________________________________
Designation	________________________________________
Address	________________________________________
Pin/Zip	________________________________________
Country	________________________________________
Tel	________________________________________
Fax	________________________________________
E-mail	________________________________________

Purpose of Payment	Fees for Conference Delegate Registration

PAYMENT DETAILS
Please tick Option A r B r

r A. If paying by Bank Draft* :
Please find enclosed a bankers draft No dated________________________ for Rs./US$___________ in favour of IARPMA PAPEREX,

payable at New Delhi.

r B Bank Transfer:

US$/Money can be transferred to use by wire transfer to our following Bank Account Number and Address,. Please send us a copy of the Bank Transfer by Fax or Scanned copy on e-mail.

Payment should be made as under:-

JP Morgan Chase Bank

SWIFT: CHASUS33

(Payment should be routed through either via CHIPS ABA 0002 Or FED ABA 021000021)

For Credit to

001-1-407376

Axis Bank Ltd, Mumbai

For further Credit to

AXISINBB007

AXIS BANK LTD, BARAKKHMBA ROAD, NEW DELHI

Ultimate Beneficiary:-

Account Number

910010007937274

Account Name

IARPMA - PAPEREX

BANK BRANCH ADDRESS

AXIS BANK LTD, OLD RAJINDER NAGAR, NEW DELHI

Purpose of Remittance : Conference/Exhibition

* For quick registration mail us at iarpma@inpaper.com or Fax: 0091 11 25768639

Print the Form after filling in Necessary Details and Send the Payment (DRAFT) to :

Paperex 2011 Secretariat
404, Vikrant Tower, 4 Rajendra Place, New Delhi - 110 008, INDIA
Tel: +91-11-25862301/25768659
FAX : +91-11-25768639, E-mail : iarpma@inpaper.com