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 One-day City tour and Local sightseeing can be made with advance intimation.

Cost Rs.300/- per person.

(Signature)