Registration Form For Award

Last date for entry: December 12, 2011

Please print the completed form, sign, seal and send it to Plastindia Foundation.

To print the form:
     Step 1: Fill the form
     Step 2: Press SUBMIT button
     Step 3: You will be given the PRINT option

Entry Fee of INR 1000/- to be sent along with application by Demand Draft/Pay Order/At Par
cheque in favour of "PLASTINDIA FOUNDATION", payable at Mumbai.
or you can click on the "Pay by Credit Card" Button below to pay and confirm your entry.

NO ENTRY FEE for Student Category Awards

Name of the Entrant:*

Authorized Representative:*

Designation:*

Address:*

Phone:*

Fax:*

E-Mail:*

Website:*

Award Category:*

Synopsis:*

Not More than 400 words

Terms & Conditions

I/We have read the Terms & Conditions and agree to abide by the same. I/We have here by declare that I/We have full title to the product
submitted for entry/have obtained authority of the title holder [enclosed] for submitting the entry.