Authors Registration Form

5th International Conference SEUARS 2016

Title of the Research Paper

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Information of the author / co-author(s)

Full Name
Mohammed Aboobucker Mufizal
Affiliation
Address for communication

E-mail
Telephone

Mr. M.A. Mufizal

Senior Lecturer
Department of Philosophy & Psychology
University of Peradeniya
mufizal77@gmail.com
Office 0812392651
Mobile 0714896171

Participant Category: (Please mark X in the relevant box)

Category (Authors)
Students from State Universities
Presenter

Rs. 1,500.00
Rs. 3,000.00

Internal & External Participants (Sri Lankan)

International Participants

Rs. 3,000.00
US $ 150

Registration Type: (Please mark X in the relevant box)

Author

Presenter

Method of Payment:
A Bank Draft

Please send your registration from along with a bank draft drawn in favour of A/C
name and number to the address given in the letter:
A/C Name:
Bursar, South Eastern University of Sri Lanka
A/C Number: 064 1001 6000 0950
Bank :
Peoples Bank, Sammanthurai Branch

Note: Please indicate SEUARS 2016 in the name column of the Bank pay-in slip
Preferred Meal :( Please mark X in the relevant box)
Vegetarian
Signature:

Non-Vegetarian

X
Date:

Please send this form along with scanned copy of the bank deposit slip via email: seuars2016@gmail.com