REGISTRATION FORM:- 1. Title Dr/Mr./Ms. 2. First Name. 3. Last Name. 4. Designation. 5. Organization/Hospital/Institute. 6.

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REGISTRATION FORM:- 1. Title Dr/Mr./Ms 2. First Name 3. Last Name 4. Designation 5. Organization/Hospital/Institute 6. Mailing Address City: Zip code: Country: 7.

2 REGISTRATION FORM:- 1. Title Dr/Mr./Ms 2. First Name 3. Last Name 4. Designation 5. Organization/Hospital/Institute 6. Mailing Address City: Zip code: Country: 7. Telephone :( country code) (area code) (number) 8. Fax: (country code) (area code) (number) 9. Mobile / Cell: 10. PAYMENT DETAILS Beneficiary Account Name: FICCI Bank Account number: Beneficiary Bank Name: HDFC BANK LTD. Bank Address: G-3-4, Suryakiran Building, 19, Kasturba Gandhi Marg, New Delhi Account Type: Current A/c IFSC Code: HDFC SWIFT Code: HDFCINBBDEL Name of Intermediary Bank: JPMorgan Chase Bank, NEW YORK Intermediary Bank Swift Code: CHASUS33 A/c No. of Beneficiary s Bank with Intermediary Bank or use link: Indian Delegate *- INR 5000/- Five Thousand per Delegate + Service 15% (Early Bird 10% uptil Dec 31, 2016) Foreign Delegates: - USD 100/- Per Delegate PS: All Doctors & Delegates from Govt. of India, State Government & Students are exempted from any delegate fees. For information relating to Conference Please contact:- FICCI Medical Device Forum Federation of Indian Chambers of Commerce & Industry FICCI Federation House, Tansen Marg, New Delhi Tel , (Extn: 512, 493)

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Department of Pharmaceuticals Government of India FOR RESPONSIBLE HEALTHCARE OVERALL PROGRAM INDIA PHARMA 2017 : Theme: Shaping the future of Indian Pharma INDIA MEDICAL DEVICE 2017 Theme: Shaping

11th 13th Feb 2017 Bangalore International Exhibition Centre, Bengaluru DATE / TIME EVENT VENUE Saturday,11 Feb, 2017 0930-1042 Inaugural Session: India Pharma 2017 & India Medical Device 2017

4 Department of Pharmaceuticals Government of India FOR RESPONSIBLE HEALTHCARE OVERALL PROGRAM INDIA PHARMA 2017 : Theme: Shaping the future of Indian Pharma INDIA MEDICAL DEVICE 2017 Theme: Shaping the Future: Making the Right Choices today! 11th 13th Feb 2017 Bangalore International Exhibition Centre, Bengaluru DATE / TIME EVENT VENUE Saturday,11 Feb, Inaugural Session: India Pharma 2017 & India Medical Device Registration Inaugural Session Media Interaction Media Centre Inauguration of Exhibitions - India Pharma Expo & India Medical Expo by Hon ble Minister along with visit to the Exhibition with Dignitaries. Exhibition IP:Hall 3 will be open from 10 am to 6 pm for Business Visitors India Pharma CEO's Roundtable with Hon'ble Minister for Chemicals & CC-Hibiscus Fertilizers, Ministry of Chemicals & Fertilizers. Govt. of India (By Invitation) INDIA MEDICAL DEVICE: Workshop : Health Technology Assessment ent INDIA PHARMA: Technical Session: Roadblocks and Opportunities in Indian CC- Cassia Clinical Research Lunch CC-Parijatha INDIA MEDICAL Expo 2017 CEO's Roundtable with Hon'ble Minister (By CC-Hibiscus Invitation) Joint Session(IMD2017 & IP 2017) on Sector Skill Challenges International Regulators Meet with the CEO s Pharmaceuticals Sector Medical Device Sector Pharma & Medical Device Awards followed by Reception and Business Networking Dinner Reverse Buyer seller Meet at BIEC, Hall 3 by Pharmexcil & EEPC (Pre-fixed B2B meetings) Sunday, 12th Feb, Hosted Buyer seller Meet at BIEC, Hall 3(Pre-fixed B2B meetings) Exhibition Joint International Regulators Meet - Sharing Best Practices & Fostering Collaborations INDIA PHARMA & INDIA MEDICAL: JOINT INVESTORS MEET CC-Cassia Cassia CC-Foyer Area IP: Hall 3 Hall 3: Pharmexcil Hall 2: EEPC Hall 3: Pharma Hall 2: Medical Dev

5 Department of Pharmaceuticals Government of India INDIA PHARMA-Panel Panel Discussion 2: Data Integrity Revisited: Challenges and Solutions INDIA MEDICAL-Panel Discussion 1: Policy Interventions in Med Tech Sector LUNCH INDIA PHARMA: Panel Discussion 2: Biopharmaceutical- The New Engine of Growth India Medical Device-Panel Discussion 2: Scaling Med Tech Manufacturing INDIA PHARMA-Panel Panel Discussion 3: Strategic Initiatives for success in Developed and Emerging Markets INDIA MEDICAL- Panel Discussion 3: Emerging Technologies in Indian Healthcare IP: IM: CC- C Cassia CC-Foyer Area IP: IM: CC- Cassia IP: IM: CC- Cassia Monday,13th Feb, Exhibition & Buyer Seller Meet IP: Hall 3 *IP- India Pharma, IM- India Medical, CC- Conference Centre 3

along with INVESTMENT EXPO 2018

in association with presents Focus Sectors : Education, SME & Skill Development Oct. 30-31, 2018 @ ATLANTIS, THE PALM - DUBAI, UAE along with INVESTMENT EXPO 2018 FOCUS INDIAN STATES ASSAM DELHI KERALA