Visitor Registration Form
March 24 - 26, 2011
Venue: Pragati Maidan, New Delhi, India
Personal Information
*
Title
-- Select--
Mr.
Mrs.
Ms.
Dr.
*
Name
*
Designation
*
Company
Contact Information
Postal Address
City
State
Post Code
*
Country
Phone
Fax
*
Mobile
*
Email
Business Interest
Remarks
1. What is your organisation's function?
Distributor/Agent
Manufacturer/Brand owner
Material/Services Suppliers
Other (please specify)
2. What is your organisation's main activity?
Association/Authority/Ministry/Bodies
Association
Space/Satellite
Operator
Department of Telecommunication
Owner
Department of Information Technology
Launcher
Ministry of IT Broadcasting
Telecom
Research & Development
Telecommunication Authorities
Broadcast
Content Provider
Equipment Manufacturer
Cable Manufacturer
IT
Digital Living
IT Enabled Services/BPO/KPO
Hardware
Software
Mobility
Mobile/Accessories Manufacturer
Mobile Service Provider
Software/Games/Content
Information Security
Network/Software Security
Telecom Equipment
Telecom Networks
Telecom Services
System Integrators
Commercial Users
Banking/Finance/Institutions
Defense/Security Services/Police
Advertisement/Entertainment/Media/PR Agency
Educational Institutes
Engineering
Hospitals
Hotels/Resorts
Pharmaceuticals
Travel
Other (please specify)
3. Please indicate the number of employee in your organisation:
Below 25
26-50
51-100
101-250
251-500
501-1000
Above 1000
4. Are you involved in purchasing/recommending?
Yes
No
5. How did you find out about 19th Convergence India 2011?
Direct Mail/Invitations
Associates
Suppliers
Magazines
Newspapers
Other (please specify)
