CII IQ International Study Mission to China

Managing Quality: A New Growth Equation

21 st to 27 th April 2013 PLEASE SEND ALL DETAILS BY 6 April 2013

CONFEDERATION OF INDIAN INDUSTRY Confederation of Indian Industry CII Institute of Quality Near Bharat Nagara 2nd Stage, Magadi Road Vishwaneedam Post, Bangalore - 560 091 Phone Board: +91-80-2328 6085 / 7690 / 9391 Fax: +91-80-2358 0314 / 2328 9388 Website: www.cii-iq.in Please clip Two Passport Size Photographs here

CII IQ International Study Mission to China

Managing Quality: A New Growth Equation
21 st to 27 th April 2013
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Name
Designation Company Name & Address:

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Telephone Office: Res: Mobile: Email: Website :

Fax :

Secretarys Name (for communication purpose only) Passport Details

Passport No: Place of Issue: Date of Issue: Validity:

Date of Birth:
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Credit Card Details

Card Name: Card No: Validity:

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Diet Preference Vegetarian Non - Vegetarian

Medical Dietary Restrictions (if any)

11. Mission Brochure For Mission brochure, please attach your brief bio-data (approx.150 words) and the Company Profile (approx. 150 words) in the format given below: PERSONAL PROFILE

COMPANY PROFILE

12. Hotel Accommodation Please book the accommodation from _______________to ________________ CII would be suggesting a hotel, at concessional rates, for mission members to make reservations directly. 13. Please indicate your flights Date Flight From To Departure Arrival

From India to Beijing

From Beijing to India

13. Registration Fees The payment of Rs 50000/- towards administrative expenses is to be paid by cheque/ DD in favour of CII Institute of Quality, Bangalore, alongwith this form. Cheque/ DDNo/ Date Drawn on

15. Contact Person in CII

Mr. N Deep: +91 98453 53135 (n.deep@cii.in) Date: Signature: