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THE SUGAR TECHNOLOGISTS’ ASSOCIATION OF INDIA th 75 Annual Convention and International Sugar Expo 2017 rd th 3 – 5 August 2017, Hotel Le Meridien, Kochi, Kerala - 682 304 Delegate Registration Form Please tick the appropriate Box Member Non-Member Name of Delegate ……………….....................................................………………………………………………………………….. Organization…………………………............................……………………..Designation.………….......................…………………. Delegate Address……………………………..................................................…………………………………………………………. Telephone..……………………………………......……………E-mail………………............................................…………………… The Sugar Technologists' Association of India Plot No. 15, 3rd Floor, 301, Aggarwal Okhla Plaza, Community Centre, Behind Hotel Crowne Plaza, Okhla Phase-I, New Delhi-110020 Tel. : 011-64645069 - 72 • E-mail : [email protected] • Website : www.staionline.org Registration Fee (as mentioned above) : 1. Member Rs................................................ 2. Non-Member Rs................................................ 3. Senior Citizen Rs................................................ 4. Name of the Spouse (if accompanying) Rs................................................ 5. Advance Payment for Hotel (one day only) Rs................................................ 6. Subscription dues if any Rs................................................ _______________________________________________________________________________________ Grand Total Rs............................................ In words....................................................................................................................................................................... Signature with date Please fill up Delegate Registration Form and send it along with required DD/Bank Transfer in favour of “The Sugar Technologists Association of India” payable at New Delhi as per following details and address given below: The Sugar Technologists' Association of India, HDFC Bank SB A/C No. 13851450000023, RTGS/NEFT IFSC CODE : HDFC 0001385, Okhla Phase-I, New Delhi- 20. Please note that delegation fee once paid is non refundable. Particulars Early Bird Registration Full Registration th th (upto 30 June 2017) (After 1 July 2017) STAI Member ` 4500 ` 5000 STAI Non-Member ` 7000 ` 8000 Accompanying Person (Spouse Only) ` 3500 ` 4000 Senior STAI Member (65 Years or above) ` 3500 ` 3500 Students ` 2000 ` 2000 Annexure - 1 The delegate fee is inclusive of service tax at current rate. GST will be extra as applicable. Membership Category :.................. Membership No. :………...…....... Front + Back Printing Please Turn Over

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Page 1: Delegate Registration Form - STAI Onlinestaionline.org/Document/Forms-75th Annual Conv.pdf · Please fill up Delegate Registration Form and send it along with required DD/Bank Transfer

THE SUGAR TECHNOLOGISTS’ ASSOCIATION OF INDIA

th75 Annual Convention and International Sugar Expo 2017rd th3 – 5 August 2017, Hotel Le Meridien, Kochi, Kerala - 682 304

Delegate Registration Form

Please tick the appropriate Box Member Non-Member

Name of Delegate ……………….....................................................…………………………………………………………………..

Organization…………………………............................……………………..Designation.………….......................………………….

Delegate Address……………………………..................................................………………………………………………………….

Telephone..……………………………………......……………E-mail………………............................................……………………

The Sugar Technologists' Association of IndiaPlot No. 15, 3rd Floor, 301, Aggarwal Okhla Plaza, Community Centre, Behind Hotel Crowne Plaza,

Okhla Phase-I, New Delhi-110020 Tel. : 011-64645069 - 72 • E-mail : [email protected] • Website : www.staionline.org

Registration Fee (as mentioned above) :

1. Member Rs................................................

2. Non-Member Rs................................................

3. Senior Citizen Rs................................................

4. Name of the Spouse (if accompanying) Rs................................................

5. Advance Payment for Hotel (one day only) Rs................................................

6. Subscription dues if any Rs................................................

_______________________________________________________________________________________

Grand Total Rs............................................

In words.......................................................................................................................................................................

Signature with date

Please fill up Delegate Registration Form and send it along with required DD/Bank Transfer in favour of “The Sugar Technologists Association of India” payable at New Delhi as per following details and address given below:

The Sugar Technologists' Association of India, HDFC Bank SB A/C No. 13851450000023, RTGS/NEFT IFSC CODE : HDFC 0001385, Okhla Phase-I, New Delhi- 20. Please note that delegation fee once paid is non refundable.

Particulars Early Bird Registration Full Registrationth th (upto 30 June 2017) (After 1 July 2017)

STAI Member ` 4500 ` 5000

STAI Non-Member ` 7000 ` 8000

Accompanying Person (Spouse Only) ` 3500 ` 4000

Senior STAI Member (65 Years or above) ` 3500 ` 3500

Students ` 2000 ` 2000

Annexure - 1

The delegate fee is inclusive of service tax at current rate. GST will be extra as applicable.

Membership Category :..................

Membership No. :………...….......

Front + Back Printing

Please Turn Over

Page 2: Delegate Registration Form - STAI Onlinestaionline.org/Document/Forms-75th Annual Conv.pdf · Please fill up Delegate Registration Form and send it along with required DD/Bank Transfer

The room tariffs of above hotels are inclusive of breakfast & hotel taxes at current rates. In case a delegate desires to book air/train tickets & requires transfer arrangements at Kochi, our official travel agent will be pleased to assist you. The

thcheck in time is 1400 hrs & check out time is 1200 hrs. Please confirm your room booking by 25 June 2017 positively as thereafter room booking cannot be guaranteed and shall be subject to availability. Please note that the rooms will be allotted on first-come-first-served basis. Cancellation policy of individual hotel will apply.

Date of Arrival at Hotel :…………………………….. Date of Departure from Hotel……………………….

Arriving by (Flight No./Train No. :)……………………………………………………..

Departure by (Flight No./Train No. :)……………………………………………………

Signature with Date

thPlease fill up accommodation reservation form & send it before 25 June 2017 to the address given below, please note that the thaccommodation request after 25 June 2017 cannot be guaranteed and shall be subject to availability.

Sr. Hotel Name Category Room Tariff in ` Approx. Distance No. from the Venue Single Double in Kms.

1 Le Meridien (Main Building) 5 Star 6000 6500 0 kms

2 Le Meridien (Tower Building) – 4000 4500 0 kms

3 Hotel Wyte Fort 4 Star 3000 3000 3.2 kms

4 Broad Beans 4 Star 3000 3000 3 kms

5 Riviera Resort 3 Star 2600 2800 2.9 kms

6 The Classik Fort 3 Star 2800 2800 2.5 kms

7. Aquaria Resort 3 Star 2500 2500 3.6 kms

Annexure - 2THE SUGAR TECHNOLOGISTS’ ASSOCIATION OF INDIA

th75 Annual Convention and International Sugar Expo 2017rd th3 – 5 August 2017, Hotel Le Meridien, Kochi, Kerala - 682 304

Accommodation Reservation Form

Name of Delegate......................................................................................................................................................................

Organization..........................................................................Designation...................................................................................

Delegate Address.........................................................................................................................................................................

Telephone :..........................................................E-mail..............................................................................................................

Where appears, Please indicate the choice of Hotel with an X

Hotels in Kochi, Kerala

The Sugar Technologists' Association of IndiaPlot No. 15, 3rd Floor, 301, Aggarwal Okhla Plaza, Community Centre, Behind Hotel Crowne Plaza,

Okhla Phase-I, New Delhi-110020 Tel. : 011-64645069 - 72 • E-mail : [email protected] • Website : www.staionline.org