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    Registration Form: Job Title

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    Cvm Gupta
    This document is a registration form for an event with information on registration fees, payment options, and deadlines. It requests the registrant's contact information and includes fields for name, address, job title, gender, phone numbers, and email. Registration fees vary based on student, scholar, or industrial status, and include or exclude accommodation. Payment can be made via e-banking, demand draft, or multicity cheque. The last dates for abstract submission, full paper submission, and fee payment are provided. Accommodation booking and arrival/departure dates are also requested. Faculty contacts are listed at the bottom for additional information.

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    Registration Form: Job Title

    Uploaded by

    Cvm Gupta
    10 views1 page
    This document is a registration form for an event with information on registration fees, payment options, and deadlines. It requests the registrant's contact information and includes fields for name, address, job title, gender, phone numbers, and email. Registration fees vary based on student, scholar, or industrial status, and include or exclude accommodation. Payment can be made via e-banking, demand draft, or multicity cheque. The last dates for abstract submission, full paper submission, and fee payment are provided. Accommodation booking and arrival/departure dates are also requested. Faculty contacts are listed at the bottom for additional information.

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    This document is a registration form for an event with information on registration fees, payment options, and deadlines. It requests the registrant's contact information and includes fields for name, address, job title, gender, phone numbers, and email. Registration fees vary based on student, scholar, or industrial status, and include or exclude accommodation. Payment can be made via e-banking, demand draft, or multicity cheque. The last dates for abstract submission, full paper submission, and fee payment are provided. Accommodation booking and arrival/departure dates are also requested. Faculty contacts are listed at the bottom for additional information.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    10 views1 page

    Registration Form: Job Title

    Uploaded by

    Cvm Gupta
    This document is a registration form for an event with information on registration fees, payment options, and deadlines. It requests the registrant's contact information and includes fields for name, address, job title, gender, phone numbers, and email. Registration fees vary based on student, scholar, or industrial status, and include or exclude accommodation. Payment can be made via e-banking, demand draft, or multicity cheque. The last dates for abstract submission, full paper submission, and fee payment are provided. Accommodation booking and arrival/departure dates are also requested. Faculty contacts are listed at the bottom for additional information.

    Copyright:

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    of 1

    REGISTRATION FORM

    Name : _______________________________
    Address : ____________________________________
    _____________________________________________
    _____________________________________________
    _____________________________________________
    Job Title :____________________________________

    Gender :
    Male
    Female
    Phone:______________ Fax:_____________
    Mobile :_______________________________
    E-mail :_______________________________
    ______________________________________
    REGISTRATION FEE ( without accommodation)
    Students - Rs.500
    Research Scholar - Rs.700
    Institute Delegates-Rs. 1500
    Industrial Delegates-Rs.2000
    Spouse (Not For Students) - Rs1000

    Are you submitting Research/Poster Papers :


    Yes
    No
    Research
    Poster
    Title of Paper :
    (i) Research Paper_____________________
    _________________________________
    (ii) Poster Paper_______________________
    _________________________________
    Do you want the organizers to book your
    accommodation ?
    Yes
    No
    If yes then: Arrival Date & Time:___________
    Departure Date &Time:________
    REGISTRATION FEE(with accommodation)
    Students - Rs. 1000
    Research Scholar - Rs.1500
    Institute Delegates-Rs. 2500
    Industrial Delegates-Rs.3000
    Spouse (Not For Students) - Rs1500

    Modes of Payment
    E-banking : In the name of ABEFT a/c no. 1460307474,Central Bank Of India, Branch HBTI, Kanpur .
    Demand Draft: Should be drawn in favour of ABEFT, payable at Kanpur.
    Multicity Cheque (A/C Payee) should be drawn in favour of ABEFT a/c no. 1460307474.
    Payment Details
    Name and branch of the Bank :____________________________________________________________________
    D.D. No/cheque/payment no.. :______________________

    Date :__________ Amount :______________

    GENERAL INFORMATION
    Last date for receipt of abstract : 20.02.2013.
    Last date for submission of full paper: 23.02.2013.
    last date for registration fee payment: 25.02.2013.
    Registration includes registration kit ,food & local hospitality for two days .
    Faculty adviser
    Alak Kumar Singh and Lalit kumar Singh
    BIOCHEMICAL ENGG. & FOOD TECH. DEPTT.
    HARCOURT BUTLER TECHNOLOGICAL INSTITUTE, KANPUR (U.P.)- 208002
    Phone No. (O) 0512-2534001-5 extension 139; FAX NO: 0512-2533812
    EMAIL: genesis2013abeft@gmail.comWEB: www.abefthbti.org, www.hbti.ac.in/genesis2k13

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