Official Mission to India, Led by HE Mr Etienne Schneider

Please return the duly completed form by no later than January 28, 2016 to:

Chamber of Commerce

Mr Daniel Sahr

E-mail:

Fax: 42 39 39-822

Official Mission to India, led by HE Mr Etienne Schneider,

Deputy Prime Minister and Minister of the Economy

1st- 5th of March 2016

REGISTRATION FORM

1) Participating company:

Name:

Address:

Phone:Fax:

E-Mail:Internet:

2) Participant(s):

Name: First Name:

Function:

Mobile phone:

E-Mail:

Assistant’s name:

Assistant’s e-Mail:

3) Participation:

Please indicate in which part of the program you will participate:

0New Delhi/Gurgaon1st –2nd of March 2016

0Mumbai3rd – 4th of March 2016

4) Main business:

Please describe your main business activity in 2 lines:

5) Objectives of your participation in the Official Mission:

Please indicate precisely the objective of your participation (export of products and services, investment project, partnership, sourcing etc.):

Please indicate the names, functions and addresses of persons you wish to be invited to a reception:

6) Should the Luxembourg Chamber of Commerce establish business contacts for you?

0YES 0NO

(Please answer number 6)

7) Please specify the contact(s) you are looking for:

8) Bookings:

(a)Flights(feel free to contact the travel agency Sotour for more details.

Contact: Bob Goerens, tel: 461514-37, e-mail: )

The Luxembourg Chamber of Commerce recommends you to book the following flights:

Luxembourg-Frankfurt-Delhi

29 FEBLH 393LUX-FRA10:50-11:40

29 FEBLH 760FRA-DEL13:30-01:30 +1

Delhi-Mumbai

03 MAR9W 358DEL-BOM10:30-12:40

Mumbai-Zurich-Luxembourg

05 MARLX 155BOM-ZRH01:20-06:15

05 MARLX 750ZRH-LUX09:00-10:00

In India, bus transfers will be organized for the above mentioned flights.

In order to benefit from the transportation, tick the YES-box:

0YES, I will book the recommended flights in order to benefit from transportation

0NO, I will book other flights. Please find my flightsbelow:

Participants travelling on other flights will have to arrange their own transfers!Each participant is personally responsible for his flight reservations!

(b)Hotels

The Luxembourg Chamber of Commerce has negotiated a special rate at the following hotels:

In order to benefit from these rates, tick the box:

0YES, I request the Luxembourg Chamber of Commerce to book the official delegation hotels

In Delhi:

Hotel The Oberoi

Address : Dr. Zakir Hussain Marg, New Delhi, Delhi 110003, India

Telephone : +91 11 2436 3030

Rate: +/- 225€ incl. Wi-Fi and breakfast

In Mumbai:

Hotel The Taj Mahal Palace & Tower

Address : Apollo Bunder, Mumbai, Maharashtra 400001, India

Telephone : +91 22 6665 3366

Rate: +/- 200€ incl. Wi-Fi and breakfast

8) Elements for the delegation brochure:

Please attach to your registration:

a)a description of your company's profile and activities

- in English

- max. 20 lines (350 words)

- including addresses (in Luxembourg and eventually in India) and details of the contact

b)the logo of the companyin high resolution

c)a photo of the representative(s)in high resolution

This information will be included in the official brochure if it reaches us by January 29, 2016. We cannot guarantee that any information received after this date will be included in the brochure!

Date:______Signature:______