Registration Form

INSOL India Annual Conference 2018 13 – 14 November 2018, The Leela Palace, New Delhi

Title:_______ First Name:__________________________ Surname:_____________________________

Name as you wish it to appear on your badge:_______________________________________________

Firm Name:__________________________________________________________________________

Address:____________________________________________________________________________

Tel:____________________________________ Email:_______________________________________

The delegate registration fee includes entry to the technical sessions on Tuesday 13 November, and Wednesday 14 November, conference breakfast & lunches on 13 November and 14 November, the Gala dinner on Tuesday 13 November. Registration Fees INSOL Membership no.

(IF APPLICABLE)

INSOL India Member Rs. 18,800/- __________ (Additional 20% discount) Non-Member Rs. 23,600/- Note: For INSOL India Members fees mentioned above are after discount. Note: Additional Taxes as applicable is included in the above Registration Fee.

Payment summary

If you wish to pay by cheque or NEFT, kindly fill in the below details. _____________________________

I enclose a cheque/draft/NEFT to the order of:______________________________________________

Cheque No: UTR No. Amount: Address (if different from address on previous page):

Signature: Date:

Have you attended an INSOL India Conference previously? Yes / No

Additional requirements:

The hotels selected by INSOL India are fully wheelchair accessible. If you require further information please contact us.

Hotel: Please indicate for our records which hotel you will be staying at: _________________________________________________________________

Delegate name, firm and country will be listed on the delegate list. Photos & video may be taken during the Conference for publication. Please bring your confirmation and photographic identification with you in order to collect your badge and Conference papers.

Conference Information

Conference venue

The Leela Palace New Delhi, Diplomatic Enclave, Chanakyapuri, New Delhi 110 023, India

Conference dates

Tuesday 13 November 2018

Wednesday 14 November 2018

Language: The working language of the conference is English Dress code: Delegates are requested to wear smart casual clothes to the conference technical sessions and social functions. Speakers are requested to wear business attire.

Accommodation / Designated Hotel

Designated Hotel

The Leela Palace New Delhi, Diplomatic Enclave, Chanakyapuri, New Delhi 110 023, India

T: + 91 11 39331234, Contact Person: Ms. Nikita Pradhan, E: mice.newdelhi@theleela.com INSOL India has negotiated a limited number of guestrooms at the Leela Palace New Delhi. These rooms are available on a first-come, first-served basis. The group room rates will also apply three (3) days prior and three (3) days after the conference dates, based upon availability of group rooms, at the time of the request.

Reservation deadline: Friday 20 October 2018

Reservation requests received after the Cut-Off Date will be accepted only at LPND’ discretion on a space available basis at the prevailing rate

Reservations are subject to guestroom and rate availability. Reservations must be made online. All hotel reservations are the responsibility of the individual delegate to make and cancel directly with the hotel. Rate information: Grande Deluxe: INR 18,000 and INR 19,000 plus taxes on single and double occupancy per room per night respectively.

x Buffet breakfast at designated venue x Complimentary two bottles of mineral water x Exclusive Butler Service x In-room Tea / Coffee maker x Complimentary usage of Health Club Facilities x Complimentary fruit basket

To confirm the reservation kindly share the credit card authorization form (attached in the e-mail) along with front and back copy of the credit card and ID proof of the card holder. The same needs to be shared at the below details: Nikita Pradhan The Leela Palace New Delhi, Diplomatic Enclave, Chanakyapuri, New Delhi 110023 India Main: +91 (011) 39331234, Mobile: +91 9560093776, Fax: +91 (011) 39331235 Email: mice.newdelhi@theleela.com, www.theleela.com Registration Information

Payment: Payment by cheque should be sent together with your registration form to INSOL India,5 Mathura Road, 3rd Floor, Jangpura – A, New Delhi – 110014. Please issue cheque in favour of: INSOL India. Please ensure that the name of the delegate and company is written clearly on the back of all cheques, which accompany the registration form.

Payment can be made by personal or company cheque. If you wish to pay by NEFT please find below the bank details of INSOL India. (INSOL India, 5, Mathura Road, 3rd Floor, Jangpura-A, New Delhi-110014)

NEFT / IMPS Axis Bank Limited Jungpura, Delhi 110011 Account Number: 126010200004480 IFSC Code: UTIB0003329

Please note: You are requested to send a screenshot of the proof of payment to contact@insolindia.com All payments must be received prior to the event date.

Disclaimer: INSOL India cannot accept any liability for any loss, cost or expense suffered or incurred by any person if such loss is caused or results from the act, default or omission of any person. In particular, INSOL India cannot accept any liability for losses arising from the provision of services provided by hotel companies or transport operators. Nor can INSOL India accept liability for losses suffered by reason of war, including threat of war, riots, and civil strife, terrorist activity, natural disaster, weather, fire, flood, drought, technical mechanical or electrical breakdown within any premises visited by delegates or their guests in connection with the Conference, industrial disputes, government action, regulations or technical problems which may affect the services provided in connection with the Conference.

Cancellation of the Conference by the Organisers: In the event that the Conference is cancelled by INSOL India, or by any reason of any factor outside the control of INSOL India, and cannot take place, the amount of the Registration fee shall be refunded. The liability of INSOL India shall be limited to that refund, and INSOL India shall not be liable for any other loss, cost or expense, howsoever caused,

incurred or arising. In particular, INSOL India shall not be liable to refund any travel costs incurred by delegates or their guests or their companies. It follows that delegates and their guests and their companies are advised to take out comprehensive insurance including travel insurance.

In the event that the Conference is cancelled by INSOL India we will contact delegates immediately.

Cancellations/Substitution: Once registration form is received, participation can’t be cancelled, however substitutions are welcome at any time with prior notifications and on confirmation by INSOL India. Cancellations carry a 100% liability and course materials will still be couriered to you.

Hotel Bookings and Cancellations: All hotel bookings are the responsibility of the individual delegate to make and cancel directly with the hotel. Credit card guarantee is required at time of reservations. Please be aware of the cancellation policy for the Conference hotel.

Conference Registration via the web: Registrations can be made via the INSOL India website at www.insolindia.com. Become a member of INSOL India and take advantage of all the member benefits including reduced Conference fees.

To apply for membership please contact contact@insolindia.com

INSOL India, 5 Mathura Road, 3rd Floor, Jangpura – A, New Delhi – 110014 011 49785744 contact@insolindia.com