2017 Symposium on

Mathematical Programming
and Game Theory
January 9-11, 2017
Venue: Indian Statistical Institute,
Delhi Centre

Symposium Registration Fee: Rs.1,000/-

REGISTRATION FORM

Name

Age / Sex

Designation

AFFIX PASSPORT

Affiliation

SIZE COLOUR

Address For Communication

PHOTO

PHONE (O) :

(R) :

MOBILE :

e-Mail ID :
Faculty :

Research Scholar :

Arrival Date & Time :

DD Number :

DD Date :

Issuing Bank :

(FOR RESEARCH SCHOLARS)

This is to certify that

is a Research Scholar of

the department.

Signature & Seal of HOD

Signature of the Delegate