Registration Form

Name :
Affiliation (Name of the Institution) :
Designation :
Address for Communication :
Nationality :
Passport number (for non Indians) :
Date of birth (MM/DD/YYYY) :
Place of birth :
Email id :
Cell Phone number :
Gender : Male    Female
Are you a : Research scholar    student
You are attending : Workshop    Conference
Are you contributing a paper? : Yes    No
If yes, title of the paper :
Expected date of arrival :
Expected date of departure :
Do you need accommodation* for your stay : Yes    No
Your food habit : Vegetarian    Non-Vegetarian
Details of registration fee paid
Name of the Bank :
Amount paid :
DD Number :
DD issued on (date) :
Any other details you want to furnish :
   

 
 

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