Registration Details

Our organization will be represented by: Name Designation Phone Email ID

1. ___________________ _______________ ______________ ________________________2. ___________________ _______________ ______________ ________________________3. ___________________ _______________ ______________ ________________________4. ___________________ _______________ ______________ ________________________

Nomination by: _________________________________ Designation: _____________________________ Company: _____________________________________________________________________________Address: ____________________________________________________________________________________________________________________________________________________________________Tel: __________________________Mobile:___________________Fax:___________________________Email: ________________________________________________________________________________

Delegate Fee:

Category Fees Service Tax Total Fees

CII Members 5000 515 5515

NABL Accredited Labs 5000 515 5515

Others 6000 618 6618 Delegate fee: Cheque/DD drawn in favor of CII Institute of Quality, Payable at

Bangalore. Delegate fee is not refundable. Changes in nominations are acceptable. This is a non- residential programme. Therefore delegates are requested to make

their own arrangements for accommodation. For Registrations Email Reply Form to labconclave @cii.in For any clarifications please contact Mr N Venkateswaran/Mr Mohanish Kapur

- CII – 0124-4014051 ; NABL contact- Mrs Anuja Anand, 011-46499999

Theme: “Credible Laboratory practices – building confidence nationwide”

Early Bird Discount Register before 29 February

2012 to avail Rs 1000 off