Registration 2019 JNU
Email ID:
[email protected]
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Registration Form
1. Personal Details
*
Indicates required field
Title
*
Mr.
Ms.
Dr.
Prof.
Name
*
First
Last
Enter Firstname
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
CESI 2018 Registration Number [This has been provided to you via Email]
*
Phone Number
*
Emergency Contact Number
*
Designation
*
Institutional Affiliation
*
Institutional Address
*
Line 1
Line 2
City
State
Zip Code
Country
Are you a CESI Life Member ?
*
Yes
No
If Yes, Please provide your membership number
*
2. Payment Details
Note : A Payment should be done by on online transfer or through a cheque . No cash will accepted.
Please Indicate the category under which you have paid the Conference fee ?
*
Professional Rs-4000
Student Rs-3000
Local Participant Vadodara Rs-2000
Students (not availing accommodation) Rs. 2000/-
Professionals (not availing accommodation) Rs. 3000/-
Note
:
The registration fee covers the food and accommodation charges (subsidised)for the period of the conference. Accommodation is available from 13th afternoon till 17th forenoon
. Accommodation can be availed for three nights only so kindly adjust your travel schedule accordingly. If you wish to stay an extra night, it will be chargeable. Financial support (subject to availability of funds) can be extended on request to student presenters not availing any fellowship/ scholarship
Please Indicate the category under which you have taken CESI membership during the current conference ? (Not for Life Members registered earlier )
*
Life Membership (Indian) Rs. 3000 /-
Life Membership (Foreign) US $ 100
Annual Member (Faculty) Rs. 1200/-
Annual Member (Student) Rs. 700/-
Total Amount Paid
*
Onspot payment
*
No
Yes
-: Bank Detail :-
Name of the Account
:
COMPARATIVE EDUCATION SOCIETY OF INDIA
Bank Name :
CANARA BANK
Address :
Lajpat Nagar Branch, New Delhi
Account no
- 0341101073331
IFSC Code :
CNRB0000341
Ph.no :
24698372
Wire Transfer Transaction ID
*
3. Travel and Accommodation Details
Place of residence
*
Local [in Vadodara]
Outside [within India]
Outside [abroad]
Food Preference
*
Vegetarian
Non-Vegetarian
Please fill the subsequent section only are an outstation participant and if you require accommodation
I will be arriving Vadodara
*
13 December 2018
14 December 2018
15 December 2018
16 December 2018
I will be leaving Vadodara
*
14 December 2018
15 December 2018
16 December 2018
17 December 2018
I need accommodation for the following days [you can select more than one]
*
13 December 2018
14 December 2018
15 December 2018
16 December 2018
17 December 2018
Submit