Registration Form

Name (In Block Letters):

Mobile No.:

Email Id:

Designation:

Institution:

Correspondence Address:

Title of Paper (Please write in clear words):

Theme:

Sub-theme of Paper:

Individual Author/Co-Author (Please mention):

Details of Fee (DD/NEFT):

Date:

Attach Fee Receipt:

Upload .Jpeg File Format Only

Note: Kindly attach the filled-in scanned copy of this form along with the scanned copy of fee receipt and send it to the mail id.