Registration Form
Name (Prof./ Dr/Mr/ Mrs/ Ms):
...
.
Callsign :
License no.
.
Nationality
Club Name:
..
..
Address :
..
.......................................................................................
.
City
.
.PIN:
Email id :
Mobile/LL with STD:
..
..
Designation in Club :
...
..........................................................................................
Arriving from (city) :
By Flight / Train /
Bus No
.
Arrival Date :
-Oct
2008 Arrival Time :
Departure to (city):
.Departure by :
Flight / Train / Bus No
Departure Date :
-Oct 2008, Departure Time :
Do you need Free Dormitory accommodation : Yes / No
Do you need other accommodation: Yes / No
|
Type |
Occupancy |
Tariff
per day in USD |
Tariff
per day in Rupees |
|
Luxury Star Hotels |
Single/Double A.C. |
200($) and above |
Rs.
8000 and above |
|
Premium Hotels (3 Star) |
Single/Double A.C. |
125-200($) |
Rs.
4000-8000 |
|
2 Star Hotels |
Single/Double A.C. |
50-125($) |
Rs.
2000- 4000 |
|
Economy Hotels |
Single/Double A.C./Non A.C. |
20-50 ($) |
Rs.
800 - 2000 |
I wish to display / demonstrate/ give Paper / Presentation : Yes / No.,
If Yes then topic:
.............................................................................................................................................
Conference Fee
Student Participation : Rs. 350
Indian (VU) : Rs. 500
Foreign (DX) : USD 50
Reservations for
Cost Rs.300/- per person.
(Signature)
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