Visitor Registration

Personal information:

Name*

Middle Name

Surname*

Gender*

MaleFemale

Contact Information:

Mobile number*	Email*
I agree to receive notification about exhibitions

Address:

Company Address*

Town / City*

Country*

Postcode*

Purpose of visiting the exhibition*
Sourcing products and services for business Gathering general industry Information Promoting own products and services Educational purposes Personal interest Others (Please Specify)
Do you have any relation to any educational institutions? Yes, I'm a student Yes, I'm a teacher / professor / employee No

Company Information:

Company name*			Position in the Company General Manager/Owner Deputy Head of the Company Head of Department/Division Manager/Specialist Individual Entrepreneur Others (Please Specify)			Job Title
Company Website

Type of business activity:
Paper Mill Owners, Managers & Supervisor Paper Merchants, Traders Printer, Publisher Paper Converter Paper Technologist Manufacturers or Suppliers of Machinery & Spares Investors & Promoters Financial Seekers Technology Seekers Consultants Agents Other (please specify)

Would you like to receive information on participating in Paperex South India 2022?

Yes
No

Interest in products and services:
PAPER & PAPER PRODUCTS MACHINERY EQUIPMENT & ACCESSORIES RAW MATERIALS PAPER PRINTING BUSINESS VALUE ADDITION TECHNOLOGY & SERVICES Other (please specify)

Did you visit the previous Paperex South India exhibition?:
Yes No

Where did you learn about the Paperex South India exhibition?*
Email Invitation Direct Invitation Website or Internet search Word of Mouth Trade Journals Newspaper Advertisements Other (please specify)

Self Declaration

Did you get vaccinated for covid 19 vaccine?:*

YesNo

Are you having any of the following symptoms from last 72 hours:*

Have you been in contact with people being infected, suspected or diagnosed with covid-19?:*

YesNo

Please check the following boxes. Please tick box to complete this form:*

I declare that entered mobile number belongs to me or my family members. It is a valid and active mobile number.
I declare that the information provided by me is accurate and to the best of my knowledge.
The applicant information if found false action may be taken in epidemic act or disaster management act by State/Central Authorities.
The applicant is not from containment zone in his/her city/district.
I have download and installed Aarogya Setu app & the status is GREEN.