The collection of badges, kits and other Conclave materials will begin at 09:00 AM on July 1, 2010

Part I is common to all delegates and should be filled-in for our information and records

PART I: DELEGATE REGISTRATION FORM
REGISTRATION FEE FOR THE CONCLAVE

Category
Advance Registration Fee
(On Or Before June 23, 2010
Spot Registration Fee
(On July 1-2, 2010)
FICCI Members
Rs. 5000
Rs 6500
Non-FICCI Members
Rs 6000
Rs 7500
Foreign Nationals
US $ 250
US $ 400


P.S: The registration fee mentioned above is per delegate. Advance registration would close on 23 June 2010 i.e. the payment (cash/cheque/demand draft/credit card) has to reach FICCI by this date. After this date, the prospective delegates can only register on-thespot. Please note that registration fee once paid is non-refundable, however, change of delegate is allowed.

Name of the delegate(s) & designation Mobile Number E-mail address

The following person(s) from our organization would be participating in FEC 2010:

The payment of registration fee for the Conclave should be made in Indian rupees for Indian delegates and in USD or its equivalent convertible currency for foreign delegates by bank draft/cheque in favour of FICCI payable at New Delhi. (Payment can also be made online through credit card at www.ficcienvconclave.com)

The registration fee includes Conclave kit, working lunch, and tea breaks and excludes boarding, lodging and transport


COMPANY INFORMATION

Name of Organisation
Address
City
State
Country
Postal Code
Telephone
Fax
Company Email
Name of CEO
Designation
E-mail
Website

ACTIVITY PROFILE

Products
Technologies
Services
What is your organisation’s core activity?

Are you a member of FICCI?

Yes No

MEMBERSHIP OF OTHER ASSOCIATIONS:

(Please specify the names of the associations)

Part IV : B2B MEET & MSW PPP FORUM

We would like to register for

B2B MEET MSW PPP FORUM (For ULBs and waste management firms only)


Interested in

Kindly register for B2B meet or MSW PPP FORUM by 23 June 2010. A B2B registration form containing the complete list of waste
management technology and service providers (sellers) available for B2B would be mailed by 28 June 2010 to all delegates who register in
advance.

Contact Us:

Please direct your queries and forms for specific registrations to the following:

For speaking and sponsorship opportunities only, please contact For Master Classes, B2B Meet, Exhibition, MSW PPP Forum and other information, please contact For delegate registration and related queries, please contact
Ms Rita Roy Choudhury
Director & Head
Environment and Climate Change
Email: rita@ficci.com;
environment@ficci.com		 Mr Rishiram Ramanan
Senior Assistant Director
Environment and Climate Change
Tel: +91-11-23738760-70
(Ext. 421);
Email: rishiram.ramanan@ficci.com;
environment@ficci.com		 Ms Aditi Sharma
Environment and Climate Change
Tel: +91-11-23738760-70 (Ext. 421);
Email: aditi.sharma@ficci.com;
environment@ficci.com