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Registration
Form for
Overseas Delegates
Please Note:
Pre-Registration is a must. On receipt of your registration form, further details will be sent.
Note
:
All delegates registering after 25 October, 2017 will not appear in our printed material.
All details need to be filled in
English only
. Please
stick to the word limit
and be clear in your details.
All details are mandatory. For any clarifications you may reach us at the details given on our
contact us
page.
TRAVEL DETAILS
DELEGATION SCHEDULE
Arrive in Kampala, Uganda
: By afternoon on 19 November, 2017
Depart from Kampala, Uganda
: Anytime on 22 November, 2017
VISA
Delegates who do not have a valid Uganda visa, need to apply for their visa (
along with a recommendation letter from CII and other documents mentioned by your travel agent
). Please ensure you apply for your visas well in time, based on the information provided by your travel agent.
YELLOW FEVER VACCINATION
Do you have a valid yellow fever certificate?
Yes
No
Note
All delegates must be in possession of a valid yellow fever certificate throughout their duration of travel.
In case you have not been vaccinated, kindly arrange for your vaccination from a Government Certified centre / hospital (list available online).
DELEGATE DETAILS
Prefix
*
Select
Mr.
Ms.
Mrs.
Dr.
H.E.
Hon.
Other.
Please Mention The Prefix
*
First Name
*
Middle Name
Last Name
*
Upload your image
*
Only .PNG, .JPG, .JPEG, Files Are Allowed!
Image size should not be more than 1MB!
Designation
*
Country
*
Organisation / Company Name
*
Postal Address
*
City
*
Pin code / Zip code
State
Mobile
*
Fax
Telephone Number
*
With STD/ISD code
Email
*
Please Retype Email Address
*
Website
Email of Secretary
Mobile of Secretary
PASSPORT DETAILS
Passport No
*
Place of Issue
*
Date of Issue
*
(dd/mm/yyyy)
Date of Expiry
*
(dd/mm/yyyy)
INDUSTRY BODY MEMBERSHIP DETAILS
Is your company a Member of an Industry
*
organization from your country ?
Yes / No
Yes
No
If yes, please give details.
COMPANY INFORMATION
Company Scale
*
Select
Small Scale Industry
Medium Scale Industry
Large Scale Industry
Industry Sector
*
Company Profile
*
A Brief write up on your
organization (Maximum of 200 words)
Personal Profile
*
Maximum of 200 words
PROJECT DETAILS
Project -
1
Project Sector
Project Size (in US$)
Project Details
Maximum of 400 words
Do you have a detailed project description?
Yes / No
Yes
No
If yes please upload.
Only .DOC, .PDF, .PPT are allowed.
Size should not be more than 10 MB.
Seeking a partner for
Is this project open for Global Tender?
Yes
No
Is this project open beyond Indian Lines of Credit Funding?
Yes
No
Remove project
Add another project
OTHER INFORMATION
Have you participated in the CII – Exim Bank Conclave on India – Africa Project Partnership held in March (each year), in New Delhi?
Yes / No
Yes
No
Please mention the year/s.
Have you done business with India / Indian companies before?
Yes / No
Yes
No
Please mention the names
If yes, have you faced an issues while doing business with India / Indian companies?
Please specify.
(Use, to seprate company name)
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