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Registration Form for the Indian Summit Mission to Brussels, Leuven, Lille, Paris, Halle
from 3 (or 6) to 12 October 2010
Title: Mr/ Mrs _____________ Last Name (Family name) _________________________
First Name__________________________________________________________________
Designation_______________________________________________________________________________________
Organization name_________________________________________________________________________________
Address __________________________________________________________________________________________
City/postal Zip code _________________State/Country__________________________________________________
E-mail __________________________________________ Tel _______________________________________
Office Assistant Name________________________________________ Fax __________________________________
| Registration Fee: |
Mission & Summit for Member*: 400 € (Mission only: 300 €) |
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Mission & Summit for Non member: 500 € (Mission only: 400 €) |
| * Member of the EuroIndia Centre |
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| Package Fee: |
Full mission + Summit (Leuven to Halle from 3 to 12 Oct.): 1800 € |
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Shortened mission + Summit (Lille/Paris to Halle from 6 to 12 Oct.): 1300 € |
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Mission only (Leuven to Paris from 3 to 8 Oct.): 1200 € |
(For the Summit only, use the standard Summit registration form available on our Website for downloading)
Package Fee includes: hotels, local transport, lunches and refreshments on the mission (free on the Summit) and excludes: air and train transport to be booked directly by the participant with itinerary/timings given by the Centre or through the Travel Agent recommended by the Centre.
- Fees are net of remitting charges by the participant's bank. If any, such charges are to be added to the amount payable
- Deadline for registration: 15 September 2010
- Registration subject to approval and receipt of payment, no later than 22 September
- Cancellation after 22 September does not entitle to refund
- Refund, if any, will be net of cancellation and remittance charges, as may be applicable
- An invoice can be sent upon request
Free registration for Open Days workshops on 5th morning (9 AM to 1 PM) and 6th afternoon (2.30-5 PM) October:
- Directly log on Open Days Website: http://ec.europa.eu/regional_policy/conferences/od2010 and book your workshops
- Deadline: 22nd of September
Mode of payment in Euros:
- By debit card (CB, MasterCard, Visa): Upon your e-mail request to neelima.kapoor@the-euroindia-centre.org an email
will be sent to you with a hyperlink to our secured bank server. You then enter your debit card details and
validate the payment. Upon receiving notice of the credit, we shall confirm your registration.
- By bank transfer to beneficiary:
The EuroIndia Centre
Domiciliation : Crédit Mutuel La Rochelle Nord
IBAN: FR76 1551 9390 7700 0212 8740 183
BIC (Swift) : CMCIFR2A
- For all clarifications and assistance regarding invitation letter for visa, etc., kindly contact Mrs. Neelima Kapoor at
neelima.kapoor@the-euroindia-centre.org or on her mobile +91 9821885045.
Tel: 91 (0)22 26407668
Date _______________________ Signature____________________
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