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Regs Form

The document is a registration form for an international conference on environmental challenges being held on October 15-16, 2010 in Jalandhar, India organized by Kanya Maha Vidyalaya. The form requests information such as the participant's name, organization, contact details, title of any research paper being presented, accommodation needs, and registration payment details.

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Tejas Chaudhari
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Download as DOC, PDF, TXT or read online on Scribd
18 views

Regs Form

The document is a registration form for an international conference on environmental challenges being held on October 15-16, 2010 in Jalandhar, India organized by Kanya Maha Vidyalaya. The form requests information such as the participant's name, organization, contact details, title of any research paper being presented, accommodation needs, and registration payment details.

Uploaded by

Tejas Chaudhari
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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International Conference on Environmental Challenges

A Global Concern
October 15-16, 2010
Organised by: Kanya Maha Vidyalaya, Jalandhar
Delegate Registration Form
1. Title (Ms./Mrs./Mr.): ……………

2. Name of the Participant: ……………………………………………

3. Designation: ………………………….

4. Institution/Organization: …………………………………………….

5. Postal Address:
……………………………………………………………………………………….
………………………………………………………………………………………………………………
………………….

6. Telephone/ Mobile no: …………………

7. E-Mail: …………………………………..

8. Accompanying Person(s): ……………….

9. Title of the research paper to be presented (If any):


……………………………………………………………………………………………………………
……………………………………………………………………………………………………………

10. Accommodation required? (Yes/No): ………..

If Yes, specify dates: From ……………….. To ……..……………..

(The accommodation to the participants will be arranged in hotels. Only students will be provided
free accommodation in hostels. For further details please write to organizing secretary or Co-
organizing secretary at [email protected])

11. Registration Details:

Demand Draft No.:………………..


(In favour of Principal, Kanya Maha Vidyalaya, Jalandhar, India)
Date: …………………….
Drawn on: ………………………………
Amount: ……………………………….

Date: ………………
Place: ……………… Signature of the delegate

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