September 18 - 21, 2009

Hall No. 12 & 12 A
Pragati Maidan, New Delhi

ORGANISERS

Department of AYUSH- ICRS Building , Red Cross Road, New Delhi- 110001 www.indianmedicine.nic.in

India Trade Promotion Organisation, Pragati Maidan, New Delhi.
www.indiatradefair.com

Application / Catalogue Entry Form for Participation in Arogya

* 1. Organization Name:

* Address: (Regd./Head Office)

* Country:

* Telephone:
(with country/city code)

Mobile:

Fax:
(with country/city code)

* Email:

Website:

2. Name & Designation of:

(i) Chief Executive

(ii) Contact Person

3. Space Requirements with three options of stall(s):

Stall(s) opted
Shell Scheme (Min. bookable area 9 sq. mtrs.)
Bare Space (Min. bookable area 36 sq. mtrs.)

1st Choice
2st Choice
3st Choice

4. Water Supply: (No. of Taps Required)

5. Extra Electricity Power Requirements (KW):

6. Exhibits to be Displayed:

7. For Catalogue entry, please send Name & Address, Telephone, Fax, E-mail, Website, Contact Person and Products on Display with Company Profile in not more than 50 words in CD only.

8. I/We Demand Draft No.

Date:

for Rs/US$:

(Drawn in favour of India Trade Promotion Organization)

I/We hereby agree to abide by the enclosed rules & regulations and agree to pay electricity & water charges, if any, separately before taking possession of stand.

* 9. Please Verify

Wrong verification code