LG BUSINESS INNOVATION CENTER - KOLKATA

SCHEDULE YOUR VISIT

FIRST NAME*

LAST NAME*

MOBILE NO.*

WORK EMAIL ADDRESS*

VISITORS ADDRESS*

(Please write the complete address)

DATE OF VISIT*

(Please input date in MM/DD/YYYY format only)

VISITING TIME*

(Please input in 24Hrs Format (HH:MM)(e.g;14:30)

TIMELINE*

(Is there a specific deadline for the project / solution that needs to be solved)

PRIMARY INDUSTRY*

VISITORS TYPE*

VISITORS COMPANY NAME*

NO. OF PERSON EXPECTED TO VISIT*

LG PIC NAME

PIC : Person In-Charge (LG will assign PIC as available, if PIC Name is not provided)

VISIT TYPE*

AREA(S) OF INTEREST*

APPROXIMATE QTY / BUDGET*

SALES ENGINEER REQUIRED*

GOAL*

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