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<h1 class="pg_title">MANTHAN APPLICATION FORM FOR PARTICIPATION</h1>
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<input type="radio" id="Member" name="YES" value="YES"> <span style="padding-right: 15px;">YES</span>
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</div>


<div class="form-group frm_new1">
<input type="text" class="form-control" id="lname" required>
<span class="highlights"></span> <span class="bar"></span>
<label>Name Company / Individual</label>
</div>
<div class="form-group frm_new1">
<input type="text" class="form-control"  id="lname" required style="height: 50px;">
<span class="highlights"></span> <span class="bar"></span>
<label>Address of the Company / Individual</label>
</div>

<div class="form-group frm_new1">
<input type="text" class="form-control" id="lname" required>
<span class="highlights"></span> <span class="bar"></span>
<label>Name of representative</label>
</div>

<div class="form-group frm_new">
<input type="text" class="form-control"  id="lname" required>
<span class="highlights"></span> <span class="bar"></span>
<label>State</label>
</div>

<div class="form-group frm_new">
<input type="text" class="form-control" required>
<span class="highlights"></span> <span class="bar"></span>
<label>City / Town </label>
</div>
<div class="clear"></div>
<div class="form-group frm_new">
<input type="text" class="form-control"  id="lname" required>
<span class="highlights"></span> <span class="bar"></span>
<label>Pin Code</label>
</div>

<div class="form-group frm_new">
<input type="text" class="form-control"required>
<span class="highlights"></span> <span class="bar"></span>
<label>Phone</label>
</div>
<div class="clear"></div>
<div class="form-group frm_new">
<input type="text" class="form-control"  id="lname" required>
<span class="highlights"></span> <span class="bar"></span>
<label>Mobile</label>
</div>


<div class="form-group frm_new">
<input type="text" class="form-control"required>
<span class="highlights"></span> <span class="bar"></span>
<label>Email</label>
</div>
<div class="clear"></div>
<div class="form-group frm_new">
<input type="text" class="form-control"  id="lname" required>
<span class="highlights"></span> <span class="bar"></span>
<label>Website</label>
</div>
<div class="clear"></div>

</form>
<div class="fees_wrap">
<h2 class="manthan_heading gold_color">Manthan Conclave Category</h2>
<label for="Platinum_plus" class="plat_lable">
<div class="info_pay">
<div class="infopay_head">
<input class="radio" id="Platinum_plus" type="radio" name="Category" value="PLATINUM">
<h2> PLATINUM PLUS</h2>
</div>
<p><span>Rs. 25000</span>
+ Tax Includes Five Star Accommodation for one night &
2 Tickets (Representatives of the same company) of Platinum Seating</p>
</div>
</label>
<label for="Platinum" class="plat_lable">
<div class="info_pay">
<div class="infopay_head">
<input class="radio" id="Platinum" type="radio" name="Category" value="PLATINUM">
<h2>PLATINUM </h2></div>
<p><span>Rs. 15000 </span>
+ tax Includes 2 Tickets (Representatives of the same company) of Platinum Seating</p>
</div>
</label>
<label for="Diamond" class="plat_lable">
<div class="info_pay">
<div class="infopay_head">
<input class="radio" id="Diamond" type="radio" name="Category" value="PLATINUM">
<h2>DIAMOND</h2></div>
<p><span>Rs. 5000</span>
+ Tax Includes One Ticket of Diamond Seating</p>
</div>
</label>
<div class="clear"></div>
<div class="pay_wrap">
<div class="part_info">
<p>Last date to Participate / Pay before &nbsp;
<span class="gold_color">30th March, 2018</span></p>
</div>
<p>* Prices mentioned above are for GJF members. Additional 10 % for non members</p>
<div class="clear"></div>

<div class="payment_methode">
    <h4>
        You can make the payment as per the following –
    </h4>
    <ul class="general_list">
        <li>Send a cheque / Demand draft in the name of "All India Gems & Jewellery Trade Federation" to-
All India Gems & Jewellery Trade Federation, 6th Floor, P & S Corporate House, Plot No. A-56, Road No.1, Behind Hotel
Tunga International, M.I.D.C., Andheri (East), Mumbai – 400 093. Maharashtra / India.</li>
<li>
    NEFT / RTGS details:Name: HDFC Bank Ltd, Santacruz Branch. Bank Address. S’ana Building, Linking Road, Santacruz
(W), Mumbai – 400054. Account Type – Current. Name - All India Gems & Jewellery Trade Federation. Account No.
00792320002503. RTGS/NEFT IFSC : HDFC0000079
</li>
    </ul>
    
</div>
</div>
</div>
<div class="tc_wrap">
<h2 class="manthan_heading gold_color">Terms and conditions applicable to registered participants</h2>
<p>
These terms and conditions refer to organisers of the event “Manthan” as <b>“GJF”</b>
and those who have registered for the event as <b>“Participants”</b>
</p>
<div class="event_box">
<div class="expand tl fade_anim"><h2>Registration Fees :</h2></div>
<div class="expand_area contentbox">
<ul class="general_list">
<li> Participant should not be below 15 years of age at the time of registration.</li>
<li>Participant should carry identification proof indicating age at the time of registration.</li>
<li> Participant must be a person belonging to the organization of member of GJF.</li>
<li>Registration fees once paid shall not be refundable save and except as herein below provided.</li>
<li>GJF reserves right to cancel or reschedule the said event in case of circumstances beyond control. Discretion of GJF that circumstances are
beyond control is absolute and binding on Participants.</li>
<li>In case the event is rescheduled, GJF shall use reasonable endeavor to communicate the rescheduled date and agenda to the Participants
based on the information provided in the registration form. However, it shall be the sole responsibility of Participant to check with GJF about
status of event. In the event registered Participant is unable to attend the event on the rescheduled date, may nominate any other person
belonging to the organization of member of GJF to attend the event on the rescheduled date by intimating GJF in writing seven days in
advance. However, under no circumstances registration fees shall be refunded.</li>
<li>In case event is cancelled, liability of GJF shall be limited to full refund of
the registration fees only. GIF shall not be liable for any interest or any travel or hotel cost incurred by any Participant or any cost of whatsoever
nature incurred by any Participant in case of such cancellation.</li>
</ul>
<div class="clear"></div>
</div>
</div>
<div class="event_box">
<div class="expand tl fade_anim"><h2>Attendance :</h2></div>
<div class="expand_area contentbox">
<ul class="general_list">
<li>In case registered Participant wishes to nominate any other person
<b>belonging to the organization of member of GJF</b> to attend the event instead of himself/herself, the same shall be communicated in writing to GJF seven in advance together with additional fees of Rs. 1000/- (Rupees One Thousand Only).<br>The said additional fees shall be paid by <b>cheque/ wire transfer</b></li>
<li>GJF admits no liability in case any Participant is unable to attend the event due to adverse weather condition or travel disruption or any reason whatsoever.</li>
</ul>
<div class="clear"></div>
</div>
</div>
<div class="event_box">
<div class="expand tl fade_anim"><h2>Content of the event and speakers :</h2></div>
<div class="expand_area contentbox">
<ul class="general_list">
<li>It may be necessary for reasons beyond control to change the content and or timing of the event, the speakers, the date or the venue at any time prior to event. GJF shall at its sole discretion take such decisions and make best endeavor in respect thereof. GIF admits no liability in respect of any change as stated herein above.</li>
</ul>
<div class="clear"></div>
</div>
</div>
<div class="event_box">
<div class="expand tl fade_anim"><h2>Force Majeure :</h2></div>
<div class="expand_area contentbox">
<ul class="general_list">
<li>If the event is abandoned, cancelled or suspended in whole or in part by
reason of war, fire, national emergency, labour dispute, strike, lock-out, civil
disturbance, inevitable accident, the non-availability of the venue or any other
cause not within the control of GJF, GJF may at their entire discretion, repay
the registration fees paid by Participant, or part thereof, but shall be under no
obligation to do so. GIF shall be under no liability to the Participants in respect
of any actions, claims, losses (including consequential losses), costs or
expenses whatsoever which may be brought against or suffered or incurred
by the Participant, as the result of the happening of such an event.</li>
</ul>
<div class="clear"></div>
</div>
</div>
<div class="event_box">
<div class="expand tl fade_anim"><h2>Liability for loss or damage :</h2></div>
<div class="expand_area contentbox">
<ul class="general_list">
<li>GJF admits no liability in respect any loss or damage to property of any
Participant.</li>
</ul>
<div class="clear"></div>
</div>
</div>
</div>
<div class="declare_wrap">
<h2 class="manthan_heading gold_color">Declaration</h2>
<p>
I confirm, as an individual or on behalf of my Organization that I/we am/ are part of the Jewellery industry either as retailer or
wholesaler or manufacturer or designers or gold smiths. I / We will abide by the terms & conditions of the ‘MANTHAN CONCLAVE
2018' and accept all the terms & conditions specified in the form. I confirm my / our eligibility to take part in this Conclave and that
all information in this application and accompanying documents are correct to the best of my knowledge.
</p>
<form>
<div class="form-group frm_new1">
<input type="text" class="form-control" id="lname" required>
<span class="highlights"></span> <span class="bar"></span>
<label>Participant’s name</label>
</div>
<div class="form-group frm_new1">
<input type="text" class="form-control"  id="lname" required >
<span class="highlights"></span> <span class="bar"></span>
<label>Designation / Profession:</label>
</div>

<div class="form-group frm_new1">
<input type="date" class="form-control" id="lname" required>
<span class="highlights"></span> <span class="bar"></span>
<label>Date</label>
</div>

<div class="form-group">
<input type="submit" value="submit" id="lname" required>
<span class="highlights"></span> <span class="bar"></span>

</div>

</form>
<p>
* The Application Form needs to be signed by the authorized signatory from the participant
organization or by the Participant himself (Proprietor, Partner, Owner, Director or any member of the
Senior Management of the Organisation)
</p>
</div>
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</div>
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<div class="rel_menu_box fade_anim">
<div class="tl">Related Links</div>
<ul>
<li><a href="manthan.html">About Manthan </a></li>
<!-- <li><a href="conclave_topics.html">Conclave Topics </a></li>
<li ><a href="speakers.html">Manthan Speakers</a></li> -->
<li><a href="team_m.html">Team Manthan</a></li>
<li class="active"><a href="form_m.html" target="_blank">Registration Form</a></li>
<li><a href="contact_manthan.html">Contact Us </a></li>
</ul>
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