ONLINE REGISTRATION FORM
(Last date for submission of forms is April 05, 2018)
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Participant's Details
Full Name *
Affiliation (University / Institution) *
Designation *
Email *
Mobile No. *
Category *
Paper Number
Title of Talk
Payment Details (Registration fee)
Mode of Payment
Amount
Transaction Details (Easypay Ref. No. / UTR No. / Transaction ID)
Date of Payment
MM
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DD
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YYYY
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