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2019-11-27T07:21:17+00:00
Registration Form
Name of Delegate
*
Category
*
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Authors/ Delegates
Students/ Participants
Industries and Corporate Participants
CSO/NGOs
Designation
*
Name of the Institution and City
*
Contact No./Mobile No.
*
Email Address
*
Gender
*
Male
Female
Paper Submission
Title of the Paper
*
Name of the Authors
*
Abstract
*
Travel & Accommodation Detail
Expected Date of Arrival
*
Accommodation needed
*
No
Yes
Number of Accompanying Persons
*
Name(s) of Accompanying Persons
*
Payment Detail
Demand Draft No. / Transaction ID. / NEFT / RTGS / Online Transaction No. / Cheque No.
*
Dated
*
Drawn on
*
For Rupees (In figures)
*
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