IBAAS 2016 registration form

REGISTRATION FORM : IBAAS 2016 “Aluminium Industry- The Evolving Asia – Pacific Story”

Please note: Your registration will be complete only after submission of a completed registration form and payment for each attending delegate. Thank you. For more information or inquiries, please contact us at info@ibaas.info.

Title (Mr., Mrs., Ms., Dr., Prof.)

Name of Participant Please fill out a separate form per participant

Designation/ Position

Name of the Organization/Institute / Company / Industry

Email

Address

Mobile Number/ Best Contact Number

Visa Requirement Please choose YES if a Visa support letter is required from IBAAS.

Paper Title (For Authors Only)

Payment Details Mode of Payment : Bank Transfer / Cheque / DD / Cash

Hotel Requirement Please indicate YES or NO and Accommodation Choice if any.

Post Symposium Mine/Plant Visit No Description

Date of Registration No Description

Digital Signature Please write you full name as your signature acknowledging the submission of the above information.