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:-         

   
To 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