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Endorsed by:

18-19 October 2011 Radisson Blu Hotel, New Delhi, Paschim Vihar

Next Generation Health Informatics INDIA


Book and pay before 31 August 2011 and save up to US $150

Integrating innovative enterprise-wide systems to transform your health informatics, increase operational efficiency and improve patient care
Indias pioneering CEOs, CIOs, COOs and heads of health informatics will speak at this exclusive event. Come and network with the following leaders:
Dr. Karanvir Singh, Head of Medical Informatics, Sir Ganga Ram Hospital, India Dr. Pavan Kumar, Head Telemedicine Center, Nanavati Hospital, India Dr. S. B. Gogia, President, Society of Administration of Telemedicine and Healthcare Informatics, India Manish Gupta, Director, Asclepius Consulting, India, Former CIO of Healthcare Global and Fortis Healthcare Baljit Singh Bedi, Advisor Health Informatics, Centre for Development for Advanced Computing (CDAC), Ministry of Communication & IT, Govt. of India

Benefits of attending:
Learn how to eliminate medical errors while enhancing patient satisfaction with effective implementation of EHR and EMR systems Deliver quality patient care to rural areas as well as increase the return on your investment by setting up telemedicine clinics Create easy access to health informatics to keep your staff productive through utilisation of mobile technology Achieve cost control and increase the pharmacys productivity with an automated drug management system

Jasmeet Singh Puri, VP Corporate Affairs & CIO, Fortis Healthcare, India U.K. Ananthapadmanabhan, President, Kovai Medical Center and Hospital, India Dr. Ruchi Dass, mHealth Specialist, Commonwealth Connect Program, DIT, Govt. of India. Council Member, Gerson Lehrman Group, India

Key topics:
Utilising the latest health informatics to enhance patient quality Data mining as a data analysis process to better identify effective treatments Transforming rural healthcare using telemedicine to increase patient retention Selecting and implementing EHR, EMR and RIS to improve patient care Maximising the use of HIS to enhance operational efficiency Exploring mHealth technology to achieve easy access and increase staff productivity
Media Partners:

Dr. Ramchandra Lele, Director Nuclear Medicine, Jaslok Hospital and Research Centre, India Dr. Raj Pulgaonkar, COO & Medical Superintendent, Manipal Hospital, India Neena Pahuja, CIO, Max Healthcare Institute, India Dr. Debajyoti Chaudhuri, Head of Radiology, Max Healthcare Institute, India Dr. Lavanian Dorairaj, CEO, HCIT Consultant, India Dr. D. P. Saraswat, CEO, Action Healthcare, India Dr. Shubnam Singh, Vice President Medical Affairs, Max Healthcare Institute, India Dr. Srinivas Iyengar, Vice President, Care Hospitals, India
Associate sponsors:

Researched and developed by:

Tel: +971 4 364 2975 Fax: +971 4 363 1938 Email: enquiry@iqpc.ae www.healthinformaticsindia.com

For more information or to register

Dear healthcare professionals,


Building on the success of our Innovations in Healthcare Management and Informatics events in Singapore and Malaysia, IQPC is delighted to announce the dates for the Next Generation Health Informatics India conference, taking place from 1819 October in New Delhi, India. At Next Generation Health Informatics India, you will learn about the latest technologies available to enhance patient care, improve operational efficiency and maximise return on investment as well as explore case studies and best practices in the implementation of innovative EHR, EMR, telemedicine and HIS solutions. Make sure you sign-up to this must-attend event to network with the brightest minds in Indian healthcare. Agenda highlights include: How to improve operational efficiency in administrative and clinical departments Fortis insight! Two exclusive case studies from Max Healthcare on EHR and Teleradiology Interactive panel discussion on how to identify and measure ROI on health informatics How to effectively implement an EMR by Indias most IT savvy physician Sir Ganga Ram Hospital success story!

Dont miss out on your opportunity to meet and network with leading healthcare providers in India at this event. Contact me now on +971-4-3642975 and I will assist in getting you registered. See you in New Delhi. Yours sincerely

Mohamed Elmi Conference Director IQPC

P.S. le Special prices are availab for healthcare providers. Contact us directly on +971-4-364 2975 or enquiry@iqpc.ae for further information and to find out if youre eligible!

Key facts:
Indias healthcare market is expected to grow by US $24 billion over the next two years as demand for private medical services increases. Private healthcare providers are utilising powerful information technologies to standardise patient care across their enterprises, allowing them to stay competitive and attractive. Also, major hospitals are developing quality health services for less fortunate people in the rural areas of India to attract a wider customer base whilst bridging the gap between urban and rural healthcare.

What attendees of IQPCs Health Informatics event series have said:


This is a wonderful event indeed from the perspective of what is happening worldwide in the healthcare informatics domain CIO, Manipal Health Systems, India Very informative opened my horizon CITO, St. Teresas Hospital, Hong Kong

Who you will meet:


This is a must attend event for senior decision makers from private healthcare providers. Here is a breakdown of the attendee profile you can expect to meet: Hospital Directors Medical Superintendents CEO, CIO, CTO, COO Head of IT Head of Medical Records Head of Health Informatics IT Managers Make sure you are part of this key networking event!

Download free podcasts, Download Free Podcasts, Interviews, White Papers and interviews, white papers and more online more online Visit www.automationinmining Visit Click to the Download Centre www.healthinformaticsindia.com

+971 4 364 2975

+971 4 363 1938

enquiry@iqpc.ae

www.healthinformaticsindia.com

Conference day one: Tuesday, 18 October 2011


08:15 Registration, refreshments and networking 08:45 Chairmans welcome and opening remarks 13:00 Adopting health informatics to improve patient safety and security
Panel discussion

A new era in health informatics


09:00 Indias efforts for standardisation in health informatics Reviewing the need for a standard health information system across the country that targets the requirements of diverse groups How the Department of Information Technology (DIT) undertook the initiative for defining the framework for an Information Technology Infrastructure for Healthcare (ITIH) in India and proposing Standards for Telemedicine Suggested framework to cover billing formats, clinical standards, data elements, health identifiers, minimum data set, legal framework and messaging standards, with a primary aim to define an acceptable Electronic Health Record (EHR)

Making accurate medical decisions and preventing medical errors through effective utilisation of health informatics Developing effective processes for data transmission to enhance patient safety Assuring effective management and secure collection to ensure minimum patient data loss

Dr Lavanian Dorairaj, CEO, HCIT Consultant, India Dr. Srinivas Iyengar, Vice President, Care Hospitals, India Manish Gupta, Director, Asclepius Consulting, India, Former CIO of Healthcare Global and Fortis Healthcare

13:40 Session reserved for Computer Sciences Corporation India (CSC) 14:10 Implementing EHR to improve accuracy and transparency of medical records ESIC insight!
Case study

Baljit Singh Bedi, Advisor Health Informatics, Centre for Development for Advanced Computing (CDAC) Ministry of Communication & IT, Govt. of India 09:30 Session reserved for AGC Networks 10:00 Networking and refreshment break

Dr. C.S. Kedar, Director General, Employees State Insurance Company, India S.K. Garg, Additional Commissioner, Employees State Insurance Company, India

14:40 Networking and refreshment break 15:10 The best IT enabled hospital in India 2010 Kovai Medical Center & Hospital
Case study

Streamlining workflow to enhance hospital operational efficiency and patient care


10:30 Successful workflow management to improve operational efficiency in administrative and clinical departments
Keynote presentation

Utilising IT to streamline and prioritise patient admissions as well as outpatient and inpatient care Efficient bed management and scheduling strategies to improve patient experiences Implementing an automated drug management system for cost control and to increase the pharmacys productivity

Utilising barcodes for efficient tracking of patient files to increase the productivity of the staff Integrating various departments to ensure free flow of information such as billing to reduce inefficiency in hospital administration Creating complete control and management of patient flow throughout the facility to minimise costs

U.K. Ananthapadmanabhan, President, Kovai Medical Center and Hospital, India

Developing methods for evaluating ROI while keeping your staff engaged and productive
15:40 The physicians perspective how to get the physicians buy-in on clinical information technology What are the physicians primary drivers and concerns for successful selection of technology? Keeping the physician engaged for a smooth implementation process Using Electronic Medical Record (EMR) to keep the physician productive whilst delivering better diagnoses

Jasmeet Singh Puri, Advisor Corporate Affairs, Fortis Healthcare, India & Mentor, Strategic Management Solutions

11:00 Session reserved for Meddiff Technologies 11:30 Radiology information systems as a standalone unit to increase the distribution of patient radiological data and imagery Enhancing your reporting and image tracking through radiology information system (RIS) and increasing flexibility throughout the entire process Find out how to complement hospital information system (HIS) with RIS to integrate patient scheduling for an efficient workflow How to implement RIS for integrated billing to administer with more ease and shorten the payment cycle

Dr. D. P. Saraswat, CEO, Action Healthcare, India 16:10 Identifying ROI and how to justify investments on health informatics
Panel discussion

Determining benchmark KPIs for EMR and methods of evaluating return on investment Examining the value of EMR by observing its impact on revenues Identifying the required information needed to establish the return on investments made in technology

Dr. Raj Pulgaonkar, COO & Medical Superintendent, Manipal Hospital, India 12:00 Networking lunch

Dr. D. P. Saraswat, CEO, Action Healthcare, India Dr. Shubnam Singh, Vice President Medical Affairs, Max Healthcare Institute, India Manish Gupta, Director, Asclepius Consulting, India, Former CIO, Healthcare Global and Fortis Healthcare

16:50 Chairs closing remarks and end of conference day

+971 4 364 2975

+971 4 363 1938

enquiry@iqpc.ae

www.healthinformaticsindia.com

Conference day two: Wednesday, 19 October 2011


08:15 Registration, refreshments and networking 08:45 Chairmans welcome and opening remarks

Innovations in the e-health space


09:00 The Governments role in driving E-Health Innovations
Keynote presentation

Bridging the gap between urban and rural healthcare with advanced technology to enhance health services
13:30 Teaching your staff to embrace innovations in health informatics Determining best practices to engage physicians and their role in driving innovation Making sure your staff adopt all functionalities to mitigate transcriptional and duplication errors Developing effective staff training to increase the competency of system users

Understand the governments perspective utilizing IT to drive healthcare efficiency Find out about the latest e-health and mobile initiatives Insight into key case studies and lessons learned

Harkesh Mittal, Secretary Technology Development Board, Department of Science & Technology, Ministry of Science & Technology, Government of India

Effective integration and implementation of technology to improve healthcare services


09:30 Max Healthcares EHR journey so far Find out the critical criterias to keep in mind when evaluating and selecting an EHR partner to ensure smooth implementation Integrating EHR with your existing IT infrastructure so clinicians have the right data at the right time Learn how to successfully develop EHR adoption amongst your staff to make the most out of your training

Manish Gupta, Director, Asclepius Consulting, India, Former CIO of Healthcare Global and Fortis Healthcare 14:00 Telemedicine how this technology is transforming rural healthcare in India Examining the various telemedicine processes which will allow you to understand the best strategy for your healthcare Increasing the productivity of your health professionals by reducing unnecessary travel time Disaster management how a portable telemedicine system is ideal for disaster relief

Case study

Neena Pahuja, CIO, Max Healthcare Institute, India 10:00 Building Indias health information infrastructure as a global leader Dr. Sreedhar Potarazu, President and CEO, VitalSpring Technologies, US 10:30 Networking and refreshment break
Case study

Dr. S. B. Gogia, President, Society of Administration of Telemedicine and Healthcare Informatics, India 14:30 Networking and refreshment break 15:00 Setting up telemedicine clinics - how to gain return on your investment Minimising expenses such as energy and transport costs whilst increasing patient retention at rural facilities Telemedicine clinics an effective business strategy for increased patient acquisition Increasing internal resource availability such as emergency room beds

11:00 Effective implementation of EMR systems improving the quality of your health services
Case study

Achieving interoperability as a step to sharing data between departments and hospitals Understanding the prerequisite requirements of an effective EMR implementation How EMR will help you to eliminate medical errors whilst enhancing patient satisfaction

Dr. Pavan Kumar, Head Telemedicine Centre, Nanavati Hospital, India 15:30 Utilising mobile technologies to drive healthcare model innovation and create easy access to health informatics mHealth integration of mobile technology to promote better health communication Driving client autonomy through mHealth: shifting attention to preventative care Providing care to underserved populations through mHealth

Dr. Karanvir Singh, Head of Medical Informatics, Sir Ganga Ram Hospital, India 11:30 Data mining improving your data analysis process to identify effective treatments Accurate extraction of data how to handle data access control for successful decision support Integrating segmented hospital information systems to overcome existing challenges in data mining such as uncertainty and incomplete data Interoperability for connected healthcare environment what should individual hospitals do to enable interclinical record sharing?

Dr. Ruchi Dass, mHealth Specialist, Commonwealth Connect Program, DIT, Govt. of India Council Member, Gerson Lehrman Group, India 16:00 Max Healthcares successful RIS teleradiology set-up
Case study

Dr. Ramchandra Lele, Director Nuclear Medicine, Jaslok Hospital and Research Centre, India 12:00 Networking lunch 13:00 Technology innovations in public health Prevention and expansion role of public health in important health decisions through technology platform Innovation in technology to lower costs and deliver improved health outcomes Use of technology in integrating healthcare delivery system

Improving patient care with teleradiology by digital image distribution to make accurate diagnoses much faster Streamlining the entire radiology process from patient registration to billing remotely by using effective teleradiology to enhance radiology workflow Increasing the radiologists productivity with teleradiology RIS to easier interpret cases for multiple facilities mRadiology understand how effective this technology has been for Max Healthcare

Dr. Debajyoti Chaudhuri, Head of Radiology, Max Healthcare Institute, India 16:30 Chairs closing remarks and end of conference

Ashok Kumar, CEO, Binary Spectrum, India

+971 4 364 2975

+971 4 363 1938

enquiry@iqpc.ae

www.healthinformaticsindia.com

Sponsorship
Indias most active hospital CEOs, CIOs, COOs and IT Directors have expressed their interest in understanding the latest developments and offerings in: 1) Fully integrated HIS for increased efficiency 2) Easy-to-operate electronic medical records with controlled access 3) RIS and CIS to improve the workflow in clinical departments 4) Mobile health devices to enable remote patient monitoring 5) Telemedicine technologies for greater access to quality care This truly Indian event not only brings together your principal clients, but also allows you to interact with them on a oneon-one basis. Take advantage of this opportunity to meet your potential customers, get first-hand feedback from strategic managers in key hospitals and healthcare institutes from across India, and make the most of your networking opportunities at this event Sponsorship opportunities are deliberately limited. For more details, call +971 4 364 2975 or email sponsorship@iqpc.ae today to explore how to best leverage this platform to achieve your business objective.

Associate sponsor:
Meddiff Technologies is the Leading and no 1 company in India focussed on developing & customizing software products in the field of Medical TeleImaging solution for standalone, multi-centre hospitals as well as tertiary care hospitals besides single/ multi-centre diagnostics chain network. We bring Teleradiology (Basic & Enterprise version), Telecardiology, Tele-Nuclear Medicine, and Web based PACS - Picture Archiving & Communication Systems (Standalone, Enterprise and as well as SaaS version) within the reach of these healthcare institutions. The solutions are FDA approved, HIPAA compliant, and conformant to HL7 standards. Headquartered in Bangalore, Meddiff Technologies has representation in US and Europe and channel partners across the globe. We have around 300 customers and more than 450 installed sites distributed across India, Singapore, Malaysia, Vietnam, Indonesia, Afghanistan, UK and US. AGC Networks Ltd. is Indias Leading Solutions Integrator in Unified communications, AV solutions, Collaboration, Network infrastructure, Information security and Consulting & PSO. AGC has been delivering customized business solutions that help organizations accelerate revenue growth, increase market penetration, optimize operating costs and improve employee productivity, by embedding communication in their business processes. With a vision of being a world class solution integrator of choice, AGC Networks Ltd. has always remained committed to providing clients with the best returns on their technology investments. It partners with global leaders like Avaya, Juniper, NICE Systems, Aspect, Verint, HP, Polycom, Cisco, NEC, Sony, Plantronics, EMC, Dialogic, NetApp, Checkpoint and Jabra. AGC Networks is a subsidiary of Aegis Limited, an Essar Enterprise. For more information log on to www.agcnetworks.com VitalSpring Technologies is the first enterprise technology company to deliver business intelligence solutions that enable large, self-insured corporations government agencies, payers, hospitals and providers to better manage and control healthcare costs and quality. VitalSpring is the only enterprise technology platform that is able to link data from every part of the healthcare supply chain from employer to the provider and everything in between. There is tremendous investment in the market in many systems and solutions that are used by employers, payers, hospitals and providers none of which connect. Data remains disparate and fragmented. VitalSpring is the first company to provide a single platform through its connectors and analytical engine that is able to pull data beginning with the employer as it pertains to benefits all the way to clinical data in the doctors office. By leveraging our innovative technology platform companies can significantly improve the performance of health programs to meet the challenge of balancing cost with the quality of benefits. CSCs Healthcare Group, which serves healthcare providers, health plans, pharmaceutical and medical device manufacturers, and allied industries around the world, is a global leader in transforming the healthcare industry through the effective use of information to improve healthcare outcomes, decisionmaking and operating efficiency. For more than 50 years, clients in industries and governments worldwide have trusted CSC with their business process and information systems outsourcing, systems integration and consulting needs. CSC is Headquartered in Falls Church, Va. trades on the New York Stock Exchange under the symbol CSC. The company has approximately 91,000 employees and reported revenue of $16.0 billion for the 12 months ended April 1, 2011. Binary Spectrum is a leading provider of Technology Solutions for the Global Healthcare Sector. Our credentials include ISO 27001:2005, ONC-ATCB certification and Gold Partner to Microsoft and Oracle. Our expertise and cutting edge solutions elicit the value for our customers across geographies that have expanded to include clients in US, EMEA and APAC regions. We architect innovative solutions and custom applications and align them with time-to-market requirements for small / medium-sized Practices, Large groups / IPAs, Hospitals and Payers. Our gamut of Healthcare offerings include IT Consulting, Business Process Consulting Services and Developing framework for solutions like EMR, Practice Management, HMIS, Portal, PACS, Credentialing, Billing, e-Prescription, Outcome Registry, Digital Secure Copy, etc. Our solutions are HIPAA and HL7 compliant.

Endorsed by:
IAMI. The Indian Association for Medical Informatics (IAMI), is a non-government, professional organization, started at Hyderabad in 1993 with the help of scientists and doctors who had perceived a need to sensitize the Indian Medical community to the benefits of IT, bring about awareness and greater utilization of Information Technology (IT) in healthcare facilities across the length and breadth of India. The association is now almost 500 strong with its members being mostly IT savvy doctors, software professionals, students and biomedical engineers. The members hold key positions in both major public and private sector health care institutions and constitute the actual decision makers in policy issues relating to Information Technology (IT) applications in healthcare. IAMI has been holding regular conferences and regional meetings and has a highly vocal and vibrant online discussion group where all matters relating to IT in healthcare including telemedicine and e-health are presented and discussed.

Media partner:
Health and Hospital Management Website: www.hhmglobal.com Hospital & Healthcare Management focus on building an advanced innovative knowledge sharing platform for the Medical, Hospital & Healthcare industry delivering the most up to date information within the healthcare sector to allow our members to reach both ends of the healthcare facility procurement chain. The knowledge bank section of Hospital & Healthcare Management features latest news, industry reports, research insight, market moves, techno trends, case studies and articles & interviews on various spectrums within the sector www.hhmglobal.com

+971 4 364 2975

+971 4 363 1938

enquiry@iqpc.ae

www.healthinformaticsindia.com

Next Generation Health Informatics INDIA


18 - 19 October 2011 Radisson Blu Hotel, New Delhi, Paschim Vihar
REGISTRATION FORM
Event Code: 20595.001 Please complete in BLOCK CAPITALS as information is used to produce delegate badges. Please photocopy for multiple bookings.

TEAM DISCOUNTS
Team discounts available on request. Call +971 4 364 2975 for more information.

VENUE & ACCOMMODATION


Radisson Blu Hotel New Delhi Paschim Vihar Plot No. D, District Centre, Outer Ring Road, Paschim Vihar New Delhi 110063, India Tel : +91-11-4639 9999 Fax : +91-11-4639 1000 E-mail : dosm@rdpvdelhi.com Hotel and travel costs are not included in the registration fee. For assistance in your travel and accommodation requirements, please refer to details below: Room Reservation Special / corporate rate for room accommodation is available in the hotel. You may contact the hotel directly as per the details above quoting Next Generation Health Informatics INDIA. Flight Reservation Nafeesa Ebrahim - Corporate Account Manager #19, Lazar Road, 3rd Cross. Frazer Town. Bangalore 560005, India Mobile: 9845551172/7204082821 Office: 41251780 Email: nafeesa@nauticatravels.com http:// www.nauticatravels.com Please book at the earliest for your convenience.

5 WAYS TO REGISTER

Email register@iqpc.ae Post IQPC Dubai FZ LLC PO Box 502397, Dubai, UAE www.healthinformaticsindia.com

Fax +971 4 363 1938 Phone +971 4 364 2975

Book and pay before 31 August 2011 and save up to US $150


* Discounts cannot be combined. * Discounts are not valid if payment is received after closing date. * Payment prior to Summit is mandatory for attendance. * Check for special group discount for registration of 3 or more.

CONFERENCE DOCUMENTATION
If you cannot make the dates you can still access all of the presentations delivered throughout the conference days for just US $450, post event. Contact us on +971 4 364 2975 for further details.

Our delegate packages are tailored to your profession. Where do you sit in the market? Indian based primary market
Indian based healthcare providers and government officials only (Please note a work email ID or business card must be submitted with payment for company verification)

Earlybird Price Standard Price Payment Save up to Payment after Payment after before 31/08/2011 by 31/08/2011 by 31/08/2011 bank transfer credit card

IQPC FZ LLCs Standard Terms and Conditions PAYMENT Payment is due in full at the time of registration and includes lunches, refreshments and detailed conference materials. Your registration will not be confirmed until payment is received and may be subject to cancellation. If a booking is received 10 working days before the conference a credit card number will be required to confirm your place, likewise if full payment has not been received before the conference date. DISCOUNTS All Early Bird Discounts require payment at time of registration and before the cut-off date in order to receive any discount. Any other discounts offered by IQPC (including team discounts) must also require payment at the time of registration. All discount offers cannot be combined with any other offer. CANCELLATION, POSTPONEMENT AND SUBSTITUTION POLICY You may substitute delegates at any time by providing reasonable advance notice to IQPC. For any cancellations received in writing not less than eight (8) days prior to the conference, you will receive a 90% credit to be used at another IQPC conference which must occur within one year from the date of issuance of such credit. An administration fee of 10% of the contract fee will be retained by IQPC for all permitted cancellations. No credit will be issued for any cancellations occurring within seven (7) days (inclusive) of the conference. In the event that IQPC cancels an event for any reason, you will receive a credit for 100% of the contract fee paid. You may use this credit for another IQPC event to be mutually agreed with IQPC, which must occur within one year from the date of cancellation. In the event that IQPC postpones an event for any reason and the delegate is unable or unwilling to attend on the rescheduled date, you will receive a credit for 100% of the contract fee paid. You may use this credit for another IQPC event to be mutually agreed with IQPC, which must occur within one year from the date of postponement. Except as specified above, no credits will be issued for cancellations. There are no refunds given under any circumstances. IQPC is not responsible for any loss or damage as a result of a substitution, alteration or cancellation/postponement of an event. IQPC shall assume no liability whatsoever in the event this conference is cancelled, rescheduled or postponed due to a fortuitous event, Act of God, unforeseen occurrence or any other event that renders performance of this conference impracticable, illegal or impossible. For purposes of this clause, a fortuitous event shall include, but not be limited to: war, fire, labor strike, extreme weather or other emergency. PROGRAMME CHANGES Please note that speakers and topics were confirmed at the time of publishing; however, circumstances beyond the control of the organisers may necessitate substitutions, alterations or cancellations of the speakers and/or topics. As such, IQPC reserves the right to alter or modify the advertised speakers and/or topics if necessary. Any substitutions or alterations will be updated on our web page as soon as possible. YOUR DETAILS Please email our database manager at enquiry@iqpc.ae and inform him/her of any incorrect details which will be amended accordingly.

$ 549.00

$ 100.00

$ 599.00

$ 649.00

Vendor and international delegates

Solution providers and technology suppliers Consultants Healthcare providers based outside of India

$ 999.00

$ 150.00

$ 1 099.00

$ 1 149.00

Prices are exclusive of tax. 10.3% service tax will be added to the advertised price upon registration.

REGISTRATION FORM
Please photocopy for additional delegates and/or delegate with different addresses

DELEGATE

Mr o

Mrs o

Ms o

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First name __________________________________ Surname ____________________________________ Email ______________________________________ Telephone __________________________________ Job Title ____________________________________ Department __________________________________ Organisation ________________________________ Nature of business _____________________________ Address ________________________________________________________________________________ ______________________________ Postcode _______________ Country ____________________________ Telephone __________________________________ Fax ________________________________________ Name of Department Head _________________________________________________________________ Name of Training Manager __________________________________________________________________ Signature ______________________________________________ Date ___________________________ I agree to IQPCs payment terms
If you have not received an acknowledgement before the conference, please call us to confirm your booking.

PAYMENT METHODS
We also accept payment by the following methods: o By Credit Card: Please debit my credit card: o Visa Valid from c c c c o Mastercard o American Express Issue number

Card No c c c c c c c c c c c c c c c c Expiry date c c c c Cardholders name ____________________________________ Signature _______________________ Card billing address (if different from Co.address) ____________________________________________ ___________________________________________________________________________________ Country _______________________________________________ Postcode _____________________ o
By Direct Transfer: Please quote IAE 20595.001 with remittance advice Bank Name: HSBC BANK Gurgaon Account number: 054-360565-001 Account Name: IQPC India Private Limited Swift Code: HSBC INBB IFSC CODE: HSBC0110005 Intermediary USD Bank details. Please remit by SWIFT MT103 For further credit to IQPC India Private Limited; Account number: 054-360565-001 with HSBC India (Swift HSBCINBB) through HSBC Mumbais account no.000-04417-2 with HSBC Bank USA New York. HSBC BANK USA, New York Chips Code : 302755, HSBC BANK USA, New York Swift code: MRMDUS33 HSBC BANK USA, New York ABA Routing Number: 021-001-088 All bank charges to be borne by the payer. Please ensure that IQPC receives the full amount invoiced. Please tick the appropriate box if you would like to pay by one of these methods and our customer services team will contact you directly to finalise the payment.

PAYMENT TERMS
Payment is due upon receipt of invoice. Bookings received within 10 working days of the conference require a credit card number to confirm your place. Payment prior to the event is mandatory for attendance. All bookings gaining the early bird discount must be paid before the early bird date, otherwise the full rate will be applied and charged. In these instances payment of the full amount will be required before entry to the event.

IQPC provides business executives around the world with tailored practical conferences, large scale events, topical seminars and in-house training programmes, keeping them up-to-date with industry trends, technological developments and the regulatory landscape. IQPCs large scale conferences are market leading must attend events for their respective industries. IQPC produces more than 1,700 events annually around the world, and continues to grow. Founded in 1973, IQPC now has offices in major cities across six continents including: Bengaluru, Berlin, Dubai, London, New York, Sao Paulo, Singapore, Stockholm, Sydney, and Toronto. IQPC leverages a global research base of best practices to produce an unrivalled portfolio of conferences. www.iqpc.ae

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