Odisha MSME Trade Fair-2019. Bhubaneshwar, Odisha, India. January 28 to February 2, 2019. Participation Form. 2. Participating Delegate. 3. Address for Communication. 4. Country code. Address. Website. 8. Investment in Plant & M/c.. 13. Main Industry

Odisha MSME Trade Fair-2019

Bhubaneshwar, Odisha, India

January 28 to February 2, 2019

Participation Form

1. Company Name			2. Participating Delegate
	3. Address for Communication		4. Country code		++
Address			Tel. (L/L): Mob.:
			Fax:
			E-mail Website
5. Established in Year	6. Employees	7. Annual Turnover US$. (in million):	8. Investment in Plant & M/c. US$. (In million):
9. Type of Enterprise (Pl. Tick)	q Micro q Small q Medium	10. Space Required (Pl. specify)	q 9 sq. mt. q 18 sq. mt q If more Pl. specify	Name to be printed on Fascia
12. Main Products Manufactured			13. Main Industry Segment
14. Main Markets / Customers			15. Preferred Type of Cooperation q Offering Technology q Seeking technology from India q Looking for Co-production Opportunities q Looking for Joint Venture q Looking for Sub-contractring q Product Buying q Product Selling
16. Products/ Technologies to be displayed (give details)

17. Specify what kind of organization(s) or individual(s) you wish to meet

(Signature of Authorised Signatory)

Odisha MSME Trade Fair-2018

Bhubaneshwar, Odisha, India

January 28 to February 2, 2019

Other Details

(Type in Block letters please) Enclose photograph.

Name of visiting Delegate

(As per passport)

Company Name:

(enclose visiting card)

Father’s Name as per passport:

PASSPORT DETAILS

Passport no. Date of issue Date of Expiry Place of issue Country

----------------- ---dd/-----mm/------yyyy ----dd/-----mm/------yyyy ------------------- --------------

Date of Birth: ----dd/-----mm/------yyyy

ROOM TYPE Required TWIN SHARING 

Dates of Arrival/Departure at/ from Bhubaneshwar Expected Arrival: ----dd/-----mm/------yyyy Expected Departure: ----dd/-----mm/------yyyy

SPECIAL REQUEST

(IF ANY)

(Signature)

⇐ Предыдущая 12