Space Registration Form

* indicates mandatory fields

Company Name & Address

Company Name *

GSTIN *

Format (27ABCDE1234F2Z5)

PAN

Format (ABCD51234F)

HSN Code *

Company Chairperson Details

Company Chairperson Name (Owner/Director) *

Designation *

E-mail ID *

Mobile No. *

Contact Person Details Related to Space Booking

Contact Person related to Space Booking *

Designation *

E-mail ID *

Mobile No. *


Correspondence Address

Address 1 *

Address 2

Address 3

Country *

City *

Pincode *

Tel. No.*

Fax No.

Website

Requirements

Product Group *

Area Required (in Sq. Mtr.)*

Space Type *

Space Request

Specific Requirement (If any)

To be flled only by Indian Exhibitors

Are you an Active AIPMA Member *

(To avail membership discount please ensure 3 years membership fess is paid along with your initial payment. Failure to which membership discount will be withdrawn.)

MSME *