Tuesday, November 22, 2011

REGISTRATION FORM


Integrated Research and Development Foundation
International Seminar
On
GLOBAL ENVIRONMENTAL ISSUES: CHALLENGES TO
INDUSTRY, ECOLOGY AND SOCIETY
December 24 - 25, 2011

REGISTRATION FORM

Name …………………………………………………………………………
Designation & Institution……………………………………………………..
Mailing Address………………………………………………………………
………………………………………………………………………………...
E-mail…………………………………………………………………………
Phone No……………………………………………………………………...
Title of the Paper……………………………………………………………...
                             ……………………………………………………………
Food Habit: Veg./Non-Veg.
Accommodation Required: Yes/No.
Registration Fee (Rs.)…………………………………………………………
Cash/Demand Draft No……………………………………………………….
Date…………………………. Drawn on…………………………………….

(Payment is to be made by Bank Draft in favour of “Secretary, IRDF”, payable at Kalyani)

Date:…………..

Place:……………………..                                                                             Signature

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