Registration Form – International Conference - Adwitya 2016 1. Registration Details Please note: If more than one person from an organisation or institution wishes to register, each individual is requested to complete a separate form. Miss
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Title Family Name Given Name Organisation/Department/Inst itute Position Address ZIP Code and City Country Telephone (country code + access code) E-Mail Fax (country code + access code)
2. Visa Assistance (please skip this portion if you DO NOT require a visa to INDIA) Please contact immediately the Indian consulate or embassy in your country to receive information on how to apply for a visa to India. If you require a visa, you are requested to fill in the information request below and send in your registration form to the organisers by not later than 18th September 2016. Please note that a visa application process may take as long as two months. The organisers will provide you with a formal invitation letter to facilitate your Visa application process, as soon as you have registered and paid the conference fee. Please note that in most cases you will need a valid passport of not less than six (6) months. 1
Information Request for the purpose of Visa application Name as seen in the passport Passport number Place of Issue Birthdate and Birthplace
3. If you require assistance in accommodation please fill in the accommodation form and send it to us at the earliest.
Registration Form â International Conference - Adwitya 2016. 1. ... If more than one person from an organisation or institution wishes to register, ... Family Name.
Registration Form â International Conference - Adwitya 2016. 1. Registration Details. Please note: If more than one person from an organisation or institution ...
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Cell Phone (_____)_____-______ ... information and may disclose such information to the above-named Insurance Company(ies) and ... consent will end when my current treatment plan is completed or one year from the date signed below.
(Name of State/Country). MATC appreciates your cooperation in completing the following information, which is needed to meet State and Federal reporting.
Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc.
Date. Time Slot. Available (Y / N). A. Saturday June 23rd. 8:00A to 12 N. B. Saturday June 23rd. 12 N to 4 PM. C. Saturday June 23rd. 4 PM to 8 PM. D. Saturday ...
NOTE : ALL INFORMATION SHOULD BE FILL IN ENGLISH CAPITAL LETTERS ONLY. 1 NAME OF SECRETARIAT. : 2 NAME OF DEPARTMENT. : 3 NAME OF INSTITUTE / OFFICE. : 4 OFFICE ADDRESS. : PHONE NUMBER. 5 NAME AND DESIGNATION OF HEAD OF. INSTITUTE/OFFICE. CONTACT NUM
born in any State (any of the 50 states, the Commonwealth of Puerto Rico, the district of Columbia, Guam, American Samoa, the. Virgin Islands, the Northern ...
I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players are not allowed in the race and I will abide by all race rules. Having read this waiver and knowing these facts and inconsidera
Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc.
Post/zip code: Country: This is the address that your certificate will be sent to. If you want your centre to send it to a different address,. please contact the centre directly. Passport or national ID number: (this must be the ID you will bring wit
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