Registra on Form - APAA Members

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1 Registra on Form - APAA Members Online registra on is available on the website at from May 1, We recommend that you register online. Offline registra on can be done by filling the form below and ing it to registra on@apaa2018.com or faxing it to Please read the registra on informa on on the website carefully before registering. 1 APAA MEMBER Council Member (please check) Member ID No Gender Male Female Firm/Organiza on Address City State Zip Code Country Phone + Area Code Mobile Address I will a end the Women in APAA session

2 2 ACCOMPANYING FAMILY PERSON 1 (AFP 1) AFP 1 ID No Gender Male Female AFP1 Excursion Day Program November 20, 2018 AFP1 ACCOMPANYING FAMILY PERSONS' TOURS November 19,2018 AFP1 Cooking Class with Henna Painting and Saree Tying AFP2 Mehrauli Archeological Park AFP3 Organic Farm Visit November 21,2018 AFP4 Akshardham Temple & Lodhi Garden AFP5 Madame Tussaud s Museum Visit AFP6 Bollywood Dance Workshop

3 3 ACCOMPANYING FAMILY PERSON 2 (AFP 2) AFP 2 ID No Gender Male Female AFP2 Excursion Day Program November 20, 2018 AFP2 ACCOMPANYING FAMILY PERSONS' TOURS November 19,2018 AFP1 Cooking Class with Henna Painting and Saree Tying AFP2 Mehrauli Archeological Park AFP3 Organic Farm Visit November 21,2018 AFP4 Akshardham Temple & Lodhi Garden AFP5 Madame Tussaud s Museum Visit AFP6 Bollywood Dance Workshop

4 4 ACCOMPANYING FAMILY PERSON 3 (AFP 3 Child) Title Mr Ms AFP 3 ID No Gender Male Female AFP3 Excursion Day Program November 20, 2018 AFP3 ACCOMPANYING FAMILY PERSONS' TOURS November 19,2018 AFP1 Cooking Class with Henna Painting and Saree Tying AFP2 Mehrauli Archeological Park AFP3 Organic Farm Visit November 21,2018 AFP4 Akshardham Temple & Lodhi Garden AFP5 Madame Tussaud s Museum Visit AFP6 Bollywood Dance Workshop

5 5 ACCOMPANYING OFFICE PERSONNEL 1 (AOP1) Member ID No Gender Male Female Firm/Organiza on Address City/State Zip Code Country Phone + Area Code Mobile Address I will a end the Women in APAA session AOP1 Excursion Day Program November 20, 2018 I declare that the above person is not professionally qualified for the membership of the APAA.

6 6 ACCOMPANYING OFFICE PERSONNEL 2 (AOP2) Member ID No Gender Male Female Firm/Organiza on Address City/State Zip Code Country Phone + Area Code Mobile Address I will a end the Women in APAA session AOP2 Excursion Day Program November 20, 2018 I declare that the above person is qualified in IP ma ers & working in my firm in the same jurisdic on.

7 GOLF EXCURSION RENTAL OF CLUBS A limited number of golf clubs are available for hire. It is recommended that you carry your own. NAME RIGHT-HANDED CLUBS LEFT HANDED CLUB PAYMENT SUMMARY Category Early Bird May 1 to June 30, 2018 Regular Fee July 1, onwards Amount Member US$ 1,150 US$ 1,380 AFP US$ 1,035 US$ 1,240 AFP Ch ild (Under 7 Years) US$ 0 US$ 0 AFP Child (7 to 12 Years) US$ 520 US$ 620 X ( ) persons AOP US$ 1,440 US$ 1,730 X ( ) persons E1 US$ 100 x ( ) persons Surcharge on Excursions E2 US$ 150 x ( ) persons E3 US$ 200 x ( ) persons Rental of Golf Clubs US$ 60 Bank Transfer Administration* US$ 50 *For payments made via bank transfer PAYMENT METHODOLOGY Registra on will only be processed and confirmed when full payment is made Online payments are recommended Payment of Offline registra ons can be made by bank transfer only All bank charges for remi ance by bank transfer will be borne by par cipants FOR PAYMENTS BY BANK TRANSFER TOTAL Please note that the registra on fees must be transferred under the registrant's name and must be stated on the bank transfer form/advice To receive confirma on, please send a copy of the bank transfer advice via to registra on@apaa2018.com Payment should be made to the following account: Name of Bank: HDFC Bank Ltd. Address of Bank: BG-01 Ansal Plaza, Khel Gaon, New Delhi Account Number: Account Name: APAA 2018 Mee ng Account IFS Code: HDFC SWIFT Code: HDFCINBB CANCELLATION & REFUND POLICY To cancel your registra on, a wri en request for a refund must be received at registra on@apaa2018.com. No oral cancella on will be entertained The refund policy is as follows: Till August 15, 2018: Cancella on fee of US$ 200, less applicable GST Between August 16 & October 15, 2018: 50% of the registra on fee, less applicable GST October16, 2018, onwards: No refund The date of receipt of the communica on reques ng cancella on will be used for the calcula on of the refund amount Refunds will be credited only to the account from where the registra on fee was received All refunds will be made post closure of the General Assembly and Council Mee ngs I have read and accepted the terms applicable for the 18th General Assembly and the 68th & 69th Council Mee ngs of APAA APAA Member's signature: Date:

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