Exhibitor Application Form

Are you Overseas Exhibitor? *

Yes No

Organisation Name *

Type of Organisation *

Address *

Country *

City *

Zip / Pin Code *

Phone

+91

Fax

+91

Website

E-mail *

Details of Representative

Gender *

Name *

Designation *

Mobile No. *

+91

Email *

Date of Birth

Passport No. *

Place of Issue *

Date of Issue *

Date of Expiry *

Name of the CEO / Managing Director

Gender *

Name *

Mobile No.

+91

Name to be shown in the Fascia (Compulsory)

Exhibitor Participation Rates

Minimum Area	Stall Type	Corner Location	Stand Ambience	Participation Fees	Corner Location / Two Side Open	GST	GST Effective Date	Description
Overseas Exhibitor (USD/SQ. MTR.)	Shell Scheme	NO	---	USD 300	USD 0	18.00%		Shell Scheme – USD 300 per sqm plus taxes as applicable
Overseas Exhibitor (USD/SQ. MTR.)	Bare Space	NO	---	USD 250	USD 0	18.00%		Bare Space – USD 250 per sqm plus taxes as applicable

Items Manufactured and Industry Application / Target Industry

LabNext Expo

Pharma MachTech Expo

OTHERS

Product Manufactured / Exported 1

HS Code

Product Manufactured / Exported 2

HS Code

Product Manufactured / Exported 3

HS Code

Product Manufactured / Exported 4

HS Code

Product Manufactured / Exported 5

HS Code

Other Products Manufactured / Exported *

Stand / Payment Details

Stand Type *

Required Space *

Payable Amount *

Payment Mode *

Online

Chq / DD No. *

Chq / DD Date *

Issuing Bank *

UTR No. *

Transfer Date *

Company / Exhibitor Profile with product details

[maximum 100 words]

Verification Code:

GST credential to be used only for this event

GSTIN No. : 19AAACE8441J1ZF
GSTIN Registered Address : Vanijya Bhawan, 1st Floor, International Trade Facilitation Centre, 1/1, Wood Street, Kolkata - 700016
GSTIN Location : West Bengal

Overseas Exhibitor Application Form

GST credential to be used only for this event