19
th
- 22
th
December 2019
Banaras Hindu University, Varanasi
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International AROGYA 2019
Hosted Foreign Delegate Registration
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Delegate General Information
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*
Gender
- Select Gender -
MALE
FEMALE
Full Name (As in Passport)
*
Title
- Select Title -
MR.
MRS.
MS.
DR.
ENGG.
H.E.
PROF.
COL.
*
Sur Name
*
First Name
*
YOU HAVE BEEN RECOMMENED TO FICCI FOR INTERNATIONAL AROGYA 2019 BY
- Select Recommended By -
INDIAN MISSION IN YOUR COUNTRY
YOUR COUNTRY MISSION IN INDIA
OTHERS (PLEASE SPECIFY)
NONE
*
Recommended By Others (Please Specify)
*
Occupation
- Select Occupation -
PRACTITIONER
IMPORTER/BUYER
GOVERNMENT OFFICIAL
ORGANISATION/INDIVIDUALS WILLING TO SET UP THEIR AYUSH INSTITUTIONS ABROAD
CEOs OF LEADING INDUSTRY
MEDICAL TRADE JOURNALIST
OTHERS (PLEASE SPECIFY)
*
Turnover
*
Other Occupation
*
Company Name
*
Designation
*
Address Line 1
*
Address Line 2
*
City
*
Pin/Zip Code
*
State
*
Country
Select Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahrain
Bangladesh
Belarus
Belgium
Benin
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of Congo
Denmark
Djibouti
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guatemala
Guinea
Guyana
Haiti
Herzegovina
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Hungary
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyz Republic
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Mauritius
Mexico
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Caledonia
New Zealand
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Congo
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia And Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tunisia
Turkey
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vatican City St.
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Office Telephone
Country Code
Area Code
Phone Number
Fax
Country Code
Area Code
Fax Number
*
Mobile Number
Country Code
Mobile Number
Mobile Number to be used in India
Country Code
India Mobile Number
*
Personal E-Mail ID
*
Official E-Mail ID
*
E-Mail ID for Communication
Kindly note that this
'E-Mail ID for Communication Field'
should be correct as all correspondence will be send on this email address only
Website
*
Your Profile
[upto 50 words for uploading on website (along with your Name, Designaton, Organisation, Country and your recent coloured business photograph) for fixing B2B meetings]
*
Your Detailed Profile
upto 1000 words for qualifying you as Hosted Foreign Delegate
*
System
- Select Occupation -
AYURVEDA
UNANI
HOMOEOPATHY
SIDDHA
YOGA & NATUROPATHY
OTHERS (PLEASE SPECIFY)
NONE
*
Other System
*
COUNTRIES VISITED
*
Upload My Latest Digital Passport Size Photograph
Please upload your recent color business digital photograph in close-up facing front white background (in .jpg or .jpeg or .gif or .png format dimension 4cm x 4cm)
Passport Information
*
Full Name (As in Passport)
*
Date of Birth
*
Nationality
*
Passport Number
*
Passport Issued by Country
Select Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahrain
Bangladesh
Belarus
Belgium
Benin
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of Congo
Denmark
Djibouti
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Guatemala
Guinea
Guyana
Haiti
Herzegovina
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyz Republic
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Mauritius
Mexico
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Caledonia
New Zealand
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Congo
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia And Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tunisia
Turkey
Turkmenistan
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vatican City St.
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
*
Passport Issue Date
*
Passport Expiry Date
*
Journey Date (From)
*
Journey Date (To)
*
Upload My Passport Scan Copy
*
UPLOADING SCANNED COPY OF MY EMPLOYEE ID CARD ISSUED BY MY ORGANISATION HERE
Please upload file (.jpg, .gif, .png and .pdf format only) with filesize is not less than 100KB and greater than 2MB
*
UPLOADING SCANNED COPY OF MY VISITING/ BUSINESS CARD HERE
Please upload file (.jpg, .gif, .png and .pdf format only) with filesize is not less than 100KB and greater than 2MB
*
I HAVE CAREFULLY READ AND UNDERSTOOD THE
‘TERMS & CONDITIONS’
AND ACCEPT THE SAME.
*
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After successful submission of your registration if you do not receive email from us on your registered email ID confirming
‘Registration Submitted’
, please contact us immediately at in order to check if your registration details have been received by us.
Subsequently, we will send
‘Registration Approved’
email by July end to
only those delegates whose registration is qualified as ‘Hosted Foreign Delegate’
.
"All 'Hosted Foreign Delegates' upon their arrival in India will be required to deposit a token amount of US$ 100/- against registration fee (refundable after the event upon successful visit and subject to fulfillment of 'terms and conditions')
THE VISA INVITATION LETTER WITH TRAVEL SCHEDULE AND STAY ARRANGEMENTS WILL BE SENT TO YOU AND YOUR AIR TICKETS AND HOTEL STAY WILL BE BOOKED BY THE ORGANIZERS SUBSEQUENTLY."
Disclaimer: FICCI reserves the right of registration and approval of Hosted Foreign Delegates. FICCI does not authorize any organisation to charge a registration fees on his behalf.
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