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                    <h1 class="title_tag_1">Registration Form</h1>
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                                <option value="0">--Select Category--</option>
                                <option value="1">CII Member</option>
                                <option value="2">CII Non-Member</option>
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                                    <tr class="table_hdr">                                      
                                        <td>CII Member <br>(per person)</td>
                                        <td>CII Member <br>(Book-a-Table (7 persons))</td>                     
                                    </tr>
                                    <tr class="tb-1">                                       
                                        <td><label><input type="radio">&nbsp;INR 5,000/-</label></td>
                                        <td><label><input type="radio">&nbsp;INR 24,500/-</label></td>
                                    </tr>
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                            <div style="display:none;" id="for_Nonmember" class="table-responsive">
                                <table class="custom_table" border="0" cellpadding="0" cellspacing="0">
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                                        <td>CII Non-Member <br>(per person)</td>
                                        <td>CII Non-Member <br>(Book-a-Table (7 persons))</td>                                
                                    </tr>
                                    <tr class="tb-1">                                       
                                        <td><label><input type="radio">&nbsp;INR 5,500/-</label></td>
                                        <td><label><input type="radio">&nbsp;INR 27,300/-</label></td>
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                <div class="col-md-12 col-sm-12 col-12">
                    <p class="nrml_txt mb-3">We are pleased to nominate the following participant(s) for the “CII National FMCG SUMMIT 2019”</p>
                    <div class="table-responsive">
                        <table border="0" cellpadding="0" cellspacing="0" class="custom_table2">
                            <tr class="table_hdr">
                                <td width="10%" align="center">Sl No.</td>
                                <td width="20%">Name</td>
                                <td width="30%">Designation </td>
                                <td width="20%">Email</td>
                                <td width="20%">Mobile</td>
                            </tr>
                            <tr>
                                <td width="10%" align="center">1 <input type="checkbox"></td>
                                <td width="20%"><input type="text" class="tble_input"></td>
                                <td width="30%"><input type="text" class="tble_input"></td>
                                <td width="20%"><input type="email" class="tble_input"></td>
                                <td width="20%"><input type="tel" class="tble_input"></td>
                            </tr>
                            <tr>
                                <td width="10%" align="center">2 <input type="checkbox"></td>
                                <td width="20%"><input type="text" class="tble_input"></td>
                                <td width="30%"><input type="text" class="tble_input"></td>
                                <td width="20%"><input type="email" class="tble_input"></td>
                                <td width="20%"><input type="tel" class="tble_input"></td>
                            </tr>
                            <tr>
                                <td width="10%" align="center">3 <input type="checkbox"></td>
                                <td width="20%"><input type="text" class="tble_input"></td>
                                <td width="30%"><input type="text" class="tble_input"></td>
                                <td width="20%"><input type="email" class="tble_input"></td>
                                <td width="20%"><input type="tel" class="tble_input"></td>
                            </tr>
                            <tr>
                                <td width="10%" align="center">4 <input type="checkbox"></td>
                                <td width="20%"><input type="text" class="tble_input"></td>
                                <td width="30%"><input type="text" class="tble_input"></td>
                                <td width="20%"><input type="email" class="tble_input"></td>
                                <td width="20%"><input type="tel" class="tble_input"></td>
                            </tr>
                            <tr>
                                <td width="10%" align="center">5 <input type="checkbox"></td>
                                <td width="20%"><input type="text" class="tble_input"></td>
                                <td width="30%"><input type="text" class="tble_input"></td>
                                <td width="20%"><input type="email" class="tble_input"></td>
                                <td width="20%"><input type="tel" class="tble_input"></td>
                            </tr>
                            <tr>
                                <td width="10%" align="center">6 <input type="checkbox"></td>
                                <td width="20%"><input type="text" class="tble_input"></td>
                                <td width="30%"><input type="text" class="tble_input"></td>
                                <td width="20%"><input type="email" class="tble_input"></td>
                                <td width="20%"><input type="tel" class="tble_input"></td>
                            </tr>
                            <tr>
                                <td width="10%" align="center">7 <input type="checkbox"></td>
                                <td width="20%"><input type="text" class="tble_input"></td>
                                <td width="30%"><input type="text" class="tble_input"></td>
                                <td width="20%"><input type="email" class="tble_input"></td>
                                <td width="20%"><input type="tel" class="tble_input"></td>
                            </tr>
                            <tr class="table_hdr">
                                <td colspan="5" align="left"><strong>Nominated By:</strong></td>
                            </tr>
                            <tr>
                                <td colspan="5">
                                    <table border="0" cellpadding="0" cellspacing="0" width="100%" class="inner_tble">
                                        <tr>
                                            <td width="15%">First Name</td>
                                            <td width="35%"><input type="text" class="tble_input"></td>
                                            <td width="15%">Last Name</td>
                                            <td width="35%"><input type="text" class="tble_input"></td>
                                        </tr>
                                        <tr>
                                            <td width="15%">Designation</td>
                                            <td width="35%" colspan="3"><input type="text" class="tble_input"></td>
                                            
                                        </tr>
                                        <tr>
                                            <td width="15%">Mobile</td>
                                            <td width="35%"><input type="tel" class="tble_input"></td>
                                            <td width="15%">Email</td>
                                            <td width="35%"><input type="email" class="tble_input"></td>
                                        </tr>
                                        <tr>
                                            <td width="15%">Organization</td>
                                            <td width="35%" colspan="3"><input type="text" class="tble_input"></td>
                                            
                                        </tr>
                                        <tr>
                                            <td width="15%">GST No</td>
                                            <td width="35%"><input type="text" class="tble_input"></td>
                                            <td width="15%">Pan No.(For Individual)</td>
                                            <td width="35%"><input type="text" class="tble_input"></td>                               
                                        </tr>
                                    </table>
                                </td>                               
                            </tr>
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                        <div class="text-center"><button class="submit_btn2">Submit</button></div>
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                            <tbody>
                            <tr class="table_hdr">
                                <td colspan="4">REGISTRATION FEE*</td>
                            </tr>
                            <tr class="table_hdr">
                                <td>CATEGORY</td>
                                <td>REGISTRATION FEE</td>                                
                            </tr>
                            <tr class="tb-1">
                                <td>CII Member</td>
                                <td>INR 5,000/- per person</td>
                            </tr>
                            <tr class="tb-1">
                                <td>Non - Member</td>
                                <td>INR 5,500/- per person</td>
                            </tr>
                            <tr class="tb-1">
                                <td>Book-a-Table (7 persons) - CII Member</td>
                                <td>INR 24,500/- per table</td>
                            </tr>
                            <tr class="tb-1">
                                <td>Book-a-Table (7 persons) - CII Non-Member</td>
                                <td>INR 27,300/- per table</td>
                            </tr>
                            <tr>
                                <td colspan="2">*(+ 18% GST applicable)</td>
                            </tr>
                            
                            
                        </tbody></table>
                        <a href="assets/downloads/FMCG_Summit_2019_Registration_Form.pdf" target="_blank" class="download_form">Download Form <i class="fa fa-download" aria-hidden="true"></i></a>
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                   <div class="table-responsive">
                        <table class="custom_table" border="0" cellpadding="0" cellspacing="0" align="center">
                            <tbody><tr class="table_hdr">
                                <td>PAYMENT DETAILS</td>
                            </tr>
                            <tr class="tb-1">
                                <td><strong>1) Cheque/DD</strong>
                                    <br>
                                    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Cheque/DD to be drawn in favour of ‘Confederation of Indian Industry’
                                </td>
                            </tr>
                            <tr class="tb-1">
                                <td><strong>2) Bank Transfer </strong>
                                    <br>
                                    &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Please email online payment slip post payment
                                </td>
                            </tr>
                            <tr class="tb-1">
                                <td><strong>3) Banking Details of CII–SNCEL, Kolkata</strong>
                                        <br>
                                        &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Bank Name: ICICI Bank Ltd, Salt Lake, Sector I Branch 
                                        <br>
                                        &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Account Name: Confederation of Indian Industry
                                        <br>
                                        &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Bank Address: AC-4, Sector-I, Salt Lake City, Kolkata 700064  
                                        <br>
                                        &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Account No: 030505005683 
                                        <br>
                                        &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Branch Code: 6950 
                                        <br>
                                        &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;MICR Code: 700229013 
                                        <br>
                                        &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;IFSC/NEFT Code: ICIC0000305 
                                        <br>
                                        &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Swift Code: ICICINBBCTS 
                                        <br>
                                        &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Swift Address: LOYDGB2LXXX 
                                
                                </td>
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                        </tbody></table>
                   </div>
                   
                </div>
                <div class="col-md-12 col-sm-12 col-12">
                    <p class="note_txt">NOTE:</p>
                    <ul class="resistration_notes">
                        <li>Early Bird Discount of 15% per delegate is applicable to registrations done till 3 December 2019. However this discount is not applicable for Book-a-table option</li>
                        <li>For Group participation between 3 and 6 persons, there will be a discount of 10% per delegate (on remaining amount after deduction of Early Bird Discount as applicable). This discount is not applicable for the Book-a-table option</li>
                        <li>
                        	Pre- Registration is mandatory; however a change in nomination is allowed
                        </li>
                        <li>
                        	Payment is to be made before the commencement of the event
                        </li>
                    </ul>
                </div>
                <div class="col-md-12 col-sm-12 col-12 mt-3">
                    <p class="note_txt">CCANCELLATION POLICY:</p>
                    <ul class="resistration_notes">
                        <li>No charges applicable for cancellations done before 48 hours from the commencement	of the event.</li>
                        <li>50% of the delegate fee will be charged for cancellations done within 48 Hours from the commencement of the event.</li>
                        <li>In case of a ‘No Show’, the full amount of the applicable Delegate Fee will be charged.</li>
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                            <h5>Rajib Roy |  Director</h5>
                            <h6>Confederation of Indian Industry</h6>
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