Join IPPTA's 2nd Knowledge Tour to Korea info@ippta.co

1. Registration form for
Travel to Korea as IPPTA Delegate
1-Name: 2-IPPTA membership No:
3-Designation 4-Mill:
5-Email address: 6-Mobile number
7-Age: 8-Date of Birth
9-Passport No : 10-Date of Issue
11-Date of expiry: 12-Attach copy of first 2 and last 2 pages of passport.
13-Is trip being sponsored by your company or is it self financed:
14-Details of remittance of Rs 25,000/ done in favour of IPPTA:
15-Would you like to book air ticket through IPPTA:
16-Would you like IPPTA to arrange Visa for you?
17-Would you like IPPTA to arrange travel insurance for you?
18-Would you like IPPTA to arrange Korean sim for you?

2. 19-In case of emergency who should be contacted. Pl give name and phone number:
20-Do you suffer from any disease? 21-Are you fit for travel in cold weather?
22 – Are you veg/ Non veg 23 – you prefer Indian/ Korean/ continental food
24- Would you like to return to India with the group on 27th
October, 2018 or want to return later. Pl give
date and flight no in case you are booking air ticket through IPPTA.
On confirmation of acceptance of registration I agree to remit a sum of Rs 1,25,000 /- ( Rupees one lakh
twentyfive) IPPTA’s favour to cover overseas travel cost( Hotel/ local travel/ food) after adjusting advance
paid within 7 days of receiving the approval. I shall also remit towards Visa/ insurance etc in case I desire
to avail this facility. In case of my failure to remit the desired amount in time the registration amount
may be forfeited and registration may be treated as cancelled.
I wish to confirm following :
I have read and undershoot the purpose of registration fees as given in SOP of registration and
confirm its acceptance in totality as per terms and condition given their in. I also accept that
IPPTA’s decision in all respect shall be final. In case of any unforeseen circumstances, accident/
mishap, loss of baggage, theft or death IPPTA or its officials would not be held responsible.
Name Signature
Date: