| |
|
| --------------------------------------------------- |
|
| --------------------------------------------------- |
|
| --------------------------------------------------- |
|
| --------------------------------------------------- |
|
| |
|
| |
|
Delegate Details: |
| |
| Name (Block letters) |
----------------------------------------------------------------------------------------- |
| Address: |
----------------------------------------------------------------------------------------- |
| Telephone: |
| --------------------------------------- |
Fax |
-------------------------------- |
|
| Mobile |
| --------------------------------------- |
E-Mail ID |
-------------------------------- |
|
| Food Preference :
Veg/Non.Veg |
----------------------------------------------------------------------------------------- |
| ISO Membership No |
----------------------------------------------------------------------------------------- |
|
| |
|
Accompanied by: |
| |
|
S.NO. |
NAME |
RELATION |
|
1 |
|
|
|
2 |
|
|
|
3 |
|
|
|
4 |
|
|
|
|
|
|
Registration Fees of delegate:
(ISO Member /Non ISO Member) |
Amount |
Accompanying Person (Spouse & Children)
|
|
|
Post Graduate Student |
|
|
Foreign Delegates |
|
|
Total Rs.
|
|
|
| |
|
Bonafide
certificate signed by the Head of the Department to be
attached in case of PG Students
|
|
Payment
should be made by demand Draft drawn in favour of
ISOCON 2010 payable at Ooty. Tamil Nadu
|
|
|
I
am enclosing herewith demand draft
No
for
Rs
Drawn on
payable at Ooty, Tamil
Nadu.
|
|
|
Only
Demand Draft will be accepted. Cheques and Credit
cards will not be accepted. Please send the
registration form along with the D.D. to the
Organising Secretary.
|
|
| |
|