REGISTRATION FORM

Banarsidas Chandiwala Institute of Professional Studies

NATIONAL CONFERENCE on “EMERGING ISSUES IN MARKETING : CHALLENGES AND
PERSPECTIVES” On 05 February, 2011

Name of the participant: ____________________________________________

Designation : ______________________________________________________
Name and Address of the organization
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
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Phone No : ________________________ Mobile No : ____________________
Fax : _____________________________________________________________
Email : ___________________________________________________________
Presented paper : Yes/ No
Title of the paper : _________________________________________________
_________________________________________________________________
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Payment Details : The demand draft no _____________ dated _____________
for Rs. _____________ is attached, drawn in favour of ““Banarsidas
Chandiwala Institute of Professional Studies” payable at New Delhi.

Signature of participant Date: ______________

Filled registration form along with demand draft may be send to
Dr. Shamsher Singh, Conference Coordinator
Banarsidas Chandiwala Institute of Professional Studies,
Plot no 9 , Sector-11, Dwarka, New Delhi -110075