National Board for Quality PromotionQUALITY COUNCIL OF INDIA

6th Floor, ITPI Building, 4-A, I P Estate, Ring Road, New Delhi 110002

1-day Leadership Awareness Program on “Smart Manufacturing Solutions Industry 4.0”

Date: May 12, 2018Time: 10:00am – 05:00pmVenue: IamSMEofIndia Habitat Centre (IHC), Plot No.21, Block B-1, Sector 11, Mathura Road, Faridabad- 121006, Haryana, India (Near Escorts Mujesar Metro Station)

REGISTRATION FORM

Name of the Organization

Address

QCI Membership No. (if applicable):

IamSME Membership No. (if applicable):

Participants’ Details:

S. No. Name of Participants Designation Mobile No. Email ID1234

Fee Details:

S. No. Particular Transaction ID/DD No. Date Bank Amount1 NEFT (Please mention NCR_12052018

as remarks in NEFT Transaction)2 DD3 Invitation by QCI / IamSME

Please send the duly filled registration form along with fee details latest by May 10, 2018 through email.

Mr Amit Singh, Assistant DirectorNational Board for Quality Promotion

Quality Council of India6th Floor, ITPI Building, 4-A, I P Estate, Ring Road,

New Delhi 110002Mobile: +91 9643401667,

Email: amit.nbqp@qcin.orgWebsite : www.qcin.org

Mr. Gaurav Kumar Rai, Executive Vice PresidentIntegrated Association of Micro, Small & Medium

Enterprises of India (IamSME)Regd. Office: Plot No.66, Sector 27A,Faridabad- 121003, Haryana, India

Mobile: ++91 9711147991Email: vp@iamsmeofindia.com

Website : www.iamsmeofindia.com

Note:

1. The Registration Fee is to be paid in advance. 2. This program fees has been subsidized under “National Quality Campaign”.

The delegates need to pay Rs.2950 (including GST) through NEFT / DD. 3. Fee can be paid by demand draft in favour of “Quality Council of India”

payable at Delhi or through NEFT/RTGS in Axis Bank account of QCI (Details available on website)

4. Seats in this programme are limited. Registration will be done on First-come-first-serve basis.