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Name :
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Title/Degree: |
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Gender: |
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Male
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Institute/Organisation : |
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Department/Division : |
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Address : |
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Postal Code : |
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Telephone with country code and city-code or Mobile No : |
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ACCOMODATION DETAILS: (At Hotel Toshali sands,Puri,India) |
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No. of accompanying person : |
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Check in (Date) :
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Check out (Date) :
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Period of stay : |
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days. |
N.B : Amounts are to be written in US Dollar(USD) or Indian Rupees(INR). |
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Registration fee to be paid :
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Registration fees details |
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Accomodation charges to be paid :
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Accommodation charges details |
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Total amount :
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PAYMENT DETAILS:
Notes:
(1) Alottment of single rooms would be on first-cum-first basis. Accommodation request should reach us at the earliest.
(2) The invited speakers are requested to fill the completed registration and accommodation form. Contact us (psi2009@iopb.res.in) for any clarifications.
(3) Tentative registartion maybe done by other prospective participants. Payment should be done only after receiving the acceptance of their paper(s). For details on spouse/accommpanysing person registration, please contact the convener (P V Satyam).
FOR PARTICIPANTS FROM ABROAD :
The total charge (Registration fees + Accomodation charges) has to be sent to INDIAN OVERSEAS BANK,
Branch code: 1476, Saving bank A/C No: 15801, A/C Name: PSI2009,
SWIFT CODE: IOBAINBB159.
FOR PARTICIPANTS FROM INDIA:
Indian participants need to send a BANK DRAFT in favour of PSI2009, Account No: 15801 payble at Bhubaneswar. |
DEMAND DRAFT: |
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Demand Draft No :
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Dated :
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ANY OTHER INFORMATION: |
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