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Delegate Registration Form

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4th National Seminar On

Plastics For Medical Devices & Healthcare Industry :
New Materials, Developments and Opportunities

Dec 12, 2025. 9.00 AM to 6.00 PM; Venue : The LaLiT Ashok, Kumarakrupa, Bengaluru.

REGISTRATION FORM

CONFERENCE DELEGATE FEES
SeminarFeesGST-18%Total
IPI & SPE Members and Members of Supporting AssociationRs.1,700/-Rs.306/-Rs.2,306/-
Non - MembersRs.2,000/-Rs.360/-Rs.2,360/-
Academicians, Students & Research ScholarsRs.1,000/-Rs.180/-Rs.1,180/-
Special Offer of 10% Concession on IPI Membership
Term Member Rs.9,000/+ Delegate Fee Rs.1,700/-Rs.10,700/-Rs.1,926/-Rs.12,626/-
Life Member Rs.22,500/+ Delegate Fee - FreeRs.22,500/-Rs.4,050/-Rs.26,550/-

Registration Details :

  • Registration will be on 'first come first served' basis.
  • Fee includes Conference Material & Proceedings, Tea/Coffee & Lunch.
  • Substitution may be made anytime subject to handing over of an authorization letter signed by the Registered Delegate to the organizers.
  • Details of Delegate fees & Sponsorship are mentioned on the back cover of the flyer.
  • Organizers reserve the right to change venue, time and Schedule of the Conference & Speakers.

Name : __________________________________________________________________________

Company : _______________________________________________________________________

Job Title : ________________________________________________________________________

Address : ________________________________________________________________________

City : __________________ Pin Code : ________________ State : _______________

Country : _______________Tel : ________________ Fax : _____________________

Mobile : ________________ Email : _______________ Website : ________________

Remittance Information :

Mode of Payment

  • Cheque or Demand Draft in favour of "INDIAN PLASTICS INSTITUTE".
  • Direct Deposit / Bank Wire Transfer : Deposit at your nearest ICICI Bank in our account in favour of "INDIAN PLASTICS INSTITUTE".

Bank Details:
Bank Name, Che / DD No. ___________ Dated ___________ drawn in favour of INDIAN PLASTICS INSTITUTE.
ICICI BANK, MIDC BRANCH
Account Name : INDIAN PLASTICS INSTITUTE
Account No. : 000401066555 MICR Code : 400229087 IFSC Code : ICIC0000544

Online Payment :

We accept that no refund will be made for cancellation of this registration and only substitution will be permitted.

Yours faithfully,

Signature

Name

INDIAN PLASTICS INSTITUTE
30, Sarvodaya Industrial Estate, 1st Floor, Near Paper Box Factory,
Off Mahakali Caves Road,
Andheri East, Mumbai - 400093.
Email : indianplasticsinstitute@ipiindia.org
Phone : +91-22-66950347 / +91-7738919439