REGISTRATION FORM

Name:

Affiliation:

Male/ Female:

Title of paper:

Date /time of arrival:

Date/ time of departure:

Accommodation required: yes/no:

Full Address:

Contact number:

Email:

Participants from outside India must also provide the following ASAP:

Name in passport:
Passport Number:
Address in passport:
Issuing Authority:
Date of Issue:
Expiry Date:
Your Affiliation (university/ college):

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