Registration Form

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th
10 National Conference on
Recent Advances in Information Technology
(READIT)
Theme:
Venue:
Date:
Information access in Digital Era
IGCAR, Kalpakkam
13-14 July, 2016
Registration Form
Name :
Designation :
Department :
Organization :
Address :
(for communication)
PIN:
Phone / Mobile
E-mail:
Fax
(* Please put tick mark in the boxes wherever it is necessary.)
I wish to participate in the conference
I wish to attend the conference as delegate
I wish to present a paper
I am enclosing an abstract for paper presentation
I need accommodation from____________ to ______________
Please send details for
Commercial presentation
To put up stall in exhibition
Sponsorship
Advertisement in souvenir/brochure/proceeding
I am sending along with this a State Bank of India
Demand Draft for Rs.
Bearing DD No.
Dated ______________________ drawn in favour of READIT, Kalpakkam
Signature:
Name:
Date:
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