Delegate Application Form |
Are you a member of EEPC India? *
Yes
No
Membership / RCMC No. *
M
Membership Subscription Payment Details *
Amount (Rs.)
Date
Organisation Name *
Type of Organisation *
Select Organisation Type
Public Limited Company
One Man Company
Private Limited Company
LLP
Proprietor
Partnership
Govt / State / Department
International Trade Body
Institutes
Start Ups
Others
Address *
Country *
State *
Select State
Region *
City *
Select City
Pin Code *
Phone *
+91
Fax
+91
Website
E-mail *
Organisation’s PAN No.
Organisation’s TAN No.
IE Code
*
Organisation’s CIN No.
*
DIN No. Holder
*
DIN No.
*
Directors
Salutation *
Select Salutation
Mr.
Ms.
Dr.
Name *
DIN
Salutation
Select Salutation
Mr.
Ms.
Dr.
Name
DIN
Salutation
Select Salutation
Mr.
Ms.
Dr.
Name
DIN
Delegate Participation Charges
Description
Participation Fees
Participation charges
INR 80000.00
Details of Representative Participating
Salutation *
Select Salutation
Mr.
Ms.
Dr.
Name *
Designation *
Mobile No. *
+91
Email *
Passport No. *
Place of Issue *
Date of Issue *
Date of Expiry *
Details of 2nd Representative
X
Salutation *
Select Salutation
Mr.
Ms.
Dr.
Name *
Designation *
Mobile No. *
+91
Email *
Passport No. *
Place of Issue *
Date of Issue *
Date of Expiry *
Name of the CEO / Managing Director
Salutation *
Select Salutation
Mr.
Ms.
Dr.
Name *
Items manufactured and Industry application / Target Industry
Engineering Products
OTHERS
Product Manufactured / Exported 1
Select product category
HS Code
Product Manufactured / Exported 2
Select product category
HS Code
Product Manufactured / Exported 3
Select product category
HS Code
Product Manufactured / Exported 4
Select product category
HS Code
Product Manufactured / Exported 5
Select product category
HS Code
Other Products Manufactured / Exported *
Total Annual Exports (in USD Million)
Total Annual Exports (in USD Million) To Brazil
Countries of Export/Foreign Collaboration, if any
Accreditation to International Standards (viz. QS, ISO, TS, etc.)
Type of Unit (*)
MSME
Others
Other Type of Unit *
Nature of Business
Manufacturer Exporter
Merchant Exporter
Export House
Others
Other nature of business *
Organisation Profile with product details (80 to 100 words)
[maximum 100 words]
Verification Code:
Submit
