Date: 24-25 July 2013 Venue: NIMHANS Convention Centre, Bangalore

ACADEMIA SPONSORSHIP FORM

Sponsorship Details
(Tick the appropriate Sponsorship Level)

ITC 2013 Academic Supporter

Branding with ITC 2013 as Academic Supporter One Entry for One Concurrent Specialty Workshop Three Entry for all Technical Sessions & Exhibition One Page Advertisement in event Souvenir Three Event Proceeding Copies On-site Branding with College Logo ITC Website - College Logo &Sponsorship level display Plaque with College Name as: ITC 2013 Academic Supporter Sponsorship Amount: ` 50,000.0

ITC 2013 Academic Partner

Branding with ITC 2013 as Academic Partner Three Complimentary Full Congress Registration Five Complimentary Exhibit Hall Guest Passes One Page Advertisement in event Souvenir Eight Event Proceeding Copies On-site Branding with Logo & Signage ITC Website - College Logo display with direct link Plaque with College Name as: ITC 2013 Academic Partner Sponsorship Amount: ` 1,00,000.0

Registration Details
Please sign up our Institution / College as an Academic Sponsor of ITC 2013. We have read and understood the benefits of selected Sponsorship level. Company Name: Address Pincode: Phone: Mobile: E-mail:

Remittance Details
Sponsorship Level Amount (in words) Payment should be made in the name of Indian Technology Congress Cheque / DD No. Bank Name : Vijaya Bank Transfer Code No. Place Account no. : 106100301000432 Date: Name & Designation IFSC Code : VIJB 0001061 Bank Amount

Please mail this form along with remittances to: Dr. L.V. Muralikrishna Reddy, Chairman - Organising Committee, ITC 2013 #5, Sri Vinayaka Towers, 7th Cross, KR Colony, Domlur Layout, Bangalore 560 071. Ph : 080 65592501 TeleFax : 41152496, Email : participate@techcongress.net