7 TH INDIAN GEMMOLOGICAL SEMINAR

6th November to 12th November, 2005

                                                                                                                              Date : _______________
Mr. K. T. Ramchandran,
Hon. Secretary
Forum of Indian Gemmologists for Scientific Studies
29, Gurukul Chambers, 187/189, Mumbadevi Road,
Mumbai - 400 002.

Dear Sir,

I wish to attend the seminar IGS- 7/2005 in Darjeeling & Gangtok (Sikkim) alongwith my Spouse / Family Member / Guest as mentioned below :

Name :   ___________________________________________________________________

Contact Address :     __________________________________________________________

                                     __________________________________________________________

                                     __________________________________________________________

Tel. No. : ________________ Fax :___________ Email : _____________________________

Name of the Spouse : ________________________________________________________

Family Member :_____________________________________________________________

Name of the Guest/s: 1) _______________________________________________________

                                       2) _______________________________________________________

Seminar Charges & Registration Charges : ( Only for the Members and Spouse )

Triple Sharing

___________person X Rs.7,800 /Rs. 9,000 /Rs. 10,000 per head =  Rs. _________________

Twin Sharing

__________ person X Rs.8,800 /Rs. 9,500 /Rs. 10,500 per head =  Rs. __________________

                                                                                                                                  --------------------------------
                                                                           Total                                       Rs.
                                                                                                                                   ==================

Seminar Charges & Registration Charges : ( Only for Guests )

Triple Sharing

__________ person X Rs.10,100 /Rs. 11,700 /Rs. 13,000 per head =  Rs.  ________________

Twin Sharing

__________ person X Rs.11,400 /Rs. 12,350 /Rs. 13,650 per head =  Rs.  ________________

                                                                                                                                    -------------------------------
                                                                                Total                                     Rs.
                                                                                                                                     =================

                                                                                                                                       ________________
                                                                                                                                                (Signature)

Total Number of persons : _____________        Amount enclosed : ______________________

Cheque/Draft No.____________________________________________________________

Cheque/Draft should be drawn on the Name of "Forum of Indian Gemmologists for Scientific Studies", payable in Mumbai.

Kindly attach one passport size photographs of each delegate for making "Delegate card".

Note :- For outstation cheques, please add Rs. 200/- towards clearing charges.