“9th JUSTICE P N BHAGWATI

INTERNATIONAL MOOT COURT COMPETITION ON HUMAN

RIGHTS”

TEAM REGISTRATION FORM

Name of Institute_____________________________________
National University of Study and Research in Law, Ranchi

REGISTRATION PROCEDURE
Please fill out all the sections of the Registration Form for participation. The Team Registration Form
Should reach via email and post to the Organizing Committee no later than as mentioned in the official
schedule. There is NO REGISTRATION FEE for participation.

The Registration shall be addressed to the following:

To
BHARATI VIDYAPEETH DEEMED TO BE UNIVERSITY
NEW LAW COLLEGE
Erandwane, Paud Road, Pune -411038
Maharashtra, India

Faculty Convenor
Prof. Aman Mishra
+91-9637109415
amanmishra579@gmail.com

Students In-Charge
Mr. Swapnil Somanjai Sharma
Student Co-Ordinator
+91-8600208609/+91-8788119279
swapnilsomanjai491@gmail.com

Mr. Yaman K. Saini

Student Co-Ordinator (Teams Correspondence)
+91-9665038330
yamanksaini@gmail.com
 REGISTRATION FORM

Institution/College/ University Information

Name of the Institution/college/University

Address 1
AT - Nagri, P.O Bukru, Kanke Pithoria Road, Kanke,
Ranchi, Jharkhand, 834006

Address 2
-

Postal Code 834006

City Ranchi

Country India

Phone (include country and area code) +91 8580322036

Faculty In-charge (Name/ Number)

Dr. K Shayamala, 8292400250

TEAM REGISTRATION FORM

Participant Information:

The number of participants in a team shall be three. Information required hereinafter is mandatory,
to be filled in the registration form. Two passport size photographs of each team member should be
sent along with this Application Form.

A1. Team Member 1 - The Official Team Contact Person

Full Name
Harsh Mishra

Date of Birth (DD/MM/YY) 17-07-1998

Sex Male

Course BA. LLB

Nationality Indian

Address
Boys Hostel, Room No. 221, NUSRL,
AT- Nagri, P.O Bukru, Kanke-Pithoria Road, Kanke, Ranchi,
Jharkhand 834006

Postal code 834006

City Ranchi

Country India

Phone (include country +91 7004793970

and area code)

E-mail ID harshmishra724@gmail.com

A2. Team Member 2

Full Name Vinish Chitra

Date of Birth (DD/MM/YY) 21-04-1997

Female

Sex Male

Course BA. LLB

Nationality Indian

Address Boys Hostel, Room No.48, NUSRL,

AT- Nagri, P.O Bukru, Kanke-Pithoria Road, Kanke, Ranchi,
Jharkhand 834006

Postal code 834006

City Ranchi

Country India

Phone (include country +91 7979715881

and area code)

E-mail ID vinish.chitra@nusrlranchi.ac.in

A3. Team Member 3

Full Name Nameera Baaqi Khan

Date of Birth (DD/MM/YY) 22-12-1997

Sex Female

Course BA. LLB

Nationality Indian

Address Girls Hostel, Room No. 34, NUSRL

AT- Nagri, P.O Bukru, Kanke-Pithoria Road, Kanke, Ranchi,
Jharkhand 834006

Postal code 834006

City Ranchi

Country India

Phone (include country +91 7355773919

and area code)

E-mail ID nameerakhan2204@gmail.com

The 3

TRAVEL PLAN
 NAME OF THE INSTITUTION/COLLEGE/UNIVERSITY
National University of Study and Research in Law, Ranchi
…………………………………………………………………

………………………………………………………………..

………………………………………………………………..

NAME OF MODE OF DETAILS (DATE, MODE OF DETAILS (DATE,

PARTICIPANT: ARRIVAL AND TIME) : DEPARTURE AND TIME):
NAME OF NAME OF
AIRLINE/TRAIN/R AIRLINE/TRAIN/R
OAD TRANSPORT OAD TRANSPORT
: ::

Harsh Mishra Not decided yet

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-

Vinish Chitra Not decided yet -

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-

Nameera Baaqi Khan Not decided yet

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