APPLICATION FORM FOR GOVERNMENT PARTICIPANTS

A. APPLICANT UNIQUE ID (To be given by ITPO) :

B. APPLICANT DETAILS :

(1) Name of the Applicant :

(2) Ownership Type
(Please tick the relevant option) :

A. PSU under GOI

B. Department/Ministry of GOI

C. PSU under State Govt.

D. Department of State Govt.

E. Others (Specify):

Organization Name:

D. ADDRESS OF THE APPLICANT :

(1) Address Line 1 :
(2) Address Line 2 :
(3) City :	(4) State :	(5) PIN Code:
(6) STD Code:	(7) Telephone :	(8) Fax :
(9) Email ID:	(10) Website :

E. CONTACT PERSON/NODAL OFFICER DETAILS :

(1) Name :
(2) Designation :
(3) STD Code:	(4) Telephone :	(5) Fax :
(6) Email ID:	(7) Mobile :

F. DETAILS OF PRODUCTS TO BE EXHIBITED IN IITF-2011 :

(1) Product Description/Profile :

Product Category for Individual Participants	State:	Hall No. :	Product Category :	Product Code :

G. SPACE REQUIREMENT(Please tick the relevant option) & PREVIOUS PARTICIPATION DETAILS:

1.Total Bulk Requirement of Space in Square Meters (A+B) :

A. Inside Halls :

B. Outdoor Display :

2.Type of Space Required:
A. Shell
B. Bare

3. Hall No.

4. Space Preference :

5. Requirement Of Space

6. Total (INR)

Unselect Space Preference


Year	Total Space in Sq Mtrs	Hall No. / State Pavilion

H. BANK DETAILS (Details of the bank through with the transactions with ITPO to take place. It should be in the name of the company)

Bank's Name :
1. Branch Name :		2. Branch Code :
3. City / Town / Village :		4. PIN Code :
I. Account Holder's Name

II Account Type : Saving Current	III Account Number :

I. PAYMENT PARTICULARS (Only Online Bank Transfers on ITPO account are accepted)

ITPO BANK DETAILS (a) UNION BANK OF INDIA, 53, Sunder Nagar, New Delhi - 110003. (b) HDFC Bank LTD., Surya Kiran building, Connaught Place, New Delhi.	Account Number 34490210105476 00031110005078	RTGs Code UBIN0534498 HDFC0000003

I/We hereby apply for participation and the payments as full / part paticipation fee are made through online bank transfer and details are as under :

Transaction ID / Reference No.

For RS.		(In Words)

Payment made from Account No.

Bank and Branch Details.

Part / Full Payment for our Shell / Bare space area.

J. PAYMENT PARTICULARS

I/We hereby apply for participation and enclose DD payable to “ITPO Delhi” as full/part participation fee.
Demand Draft No.:		Dated :
for Rs. :		(in words) :
Payable at DELHI :		drawn on (Banker's Name) :
towards our advance (min. 50%)/Full payment for our Shell /Bare Space Area.

K. LIST OF DOCUMENTS ATTACHED (Please attach any two documents)

Exhibitor ID Proof (Year 2008/2009/2010):	PAN Card Number :
Self / Bank Certificate For Account Number (On Official Letter Head) :	Payment Through DD :
TIN Number(if applicable)

DECLARATION

I hereby declare that the above information is true to the best of my knowledge and undertake that I will not sublet my stall and I will abide by the terms and conditions of ITPO. In case of violation ITPO can seal the booth, take away goods lying in my allotted space and we shall have no claim including refund of space rent and security deposite.I also undertake that I will not use the passage space for either storing/Displaying my exhibits. ITPO is fully authorized to confiscate the exhibits/goods if any found to be lying on the passage area. I shall not have any claim on these goods.

Name :		Designation :

Company / Organization :
City / Town :
Place :
Date :	Signature	Stamp / Seal

(The person signing the application form should preferebly be the same as contact person mentioned in column no. 2)

For Use by ITPO

Date of Receipt of Online Form	Register Reference Page No Serial NO	Signature	Employee Code

I agree with the Terms & Conditions of participation in IITF 2011.

Participation & Visitors Profile

The visitor profile of the India International Trade Fair covers CEOs, senior managers of trade and industry, overseas trade delegations, foreign emissaries, business leaders, decision makers, civil servants, policy makers, media persons, thinkers and members of the public.

INDIA TRADE PROMOTION ORGANISATION
Pragati Bhavan, Pragati Maidan, New Delhi – 110 001,
Tel: 91-11, 23378802,23371965, 23371815, Fax:91-11-23371869 & 23371845,
E-mail: ni@itpo-online.com, iitf2011@itpo-online.com,