TIME 2015 - Registration Form | December 4-7, 2015
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Name (in BLOCK letters): *
Category: *
Affiliation: *
Mailing Address (in BLOCK letters): *
Telephone (Office - with STD code):
Telephone (Residence - with STD code):
Mobile Number: *
Email Address (Be precise - all communication will be sent to this email address ONLY): *
Gender: *
Will you need accomodation at the venue? *
(If YES, add Rs 1000/= towards accommodation charges. Accommodation for outstation participants will be in student Hostels on sharing basis from 3rd Dec. evening to 8th Dec. morning; NOTE: For first 100 outstation teacher participants accommodation charges will be refunded upon participation).
Registration Fees
Registration Fees (till 30th October, 2015): For teachers (from schools and colleges) -  Rs. 1200; For non-teachers - Rs. 1500

After 30th October, 2015: For teachers - Rs. 1700; For non-teachers - Rs. 2500
Registration Charges:
Accomodation Charges:
Total Amount:
Payment Details
Demand draft should be drawn in favor of "The Registrar, IIT Bombay (TIME 2015 A/c)"

Postal Address:
Prof. Inder K. Rana
Convener, TIME 2013
Department of Mathematics, I.I.T. Bombay
Powai, Mumbai 40007

For any queries, send a mail to ikrana@gmail.com
DD No:
Bank:
Name/Signature:
Date:
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