REGISTRATION FORM
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                 (Please fill in block letters or type)


NAME                                   :

SEX (for accommodation purposes)       :

QUALIFICATION                          :

EXPERIENCE                             :

AREAS OF INTEREST                      :

DESIGNATION                            :

DEPARTMENT                             :

INSTITUTE/ORGANIZATION                 :

FULL ADDRESS                           :

 

PHONE                                  :
FAX                                    :
EMAIL                                  :
DEMAND DRAFT NUMBER, BANK AND DATE     : 

                                             Signature of the applicant

RECOMMENDATION OF HEAD OF INSTITUTION  :
(Needed only for availing 
 teacher/student category benefit)
The applicant  is a bona fide teacher/student of my institution. 
I recommend his/her participation in the course in the special category,
because
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SIGNATURE WITH SEAL


                                           For  office  use only
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                                         | Remarks:
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