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HNMCC 2018 Registration-Form
HNMCC 2018 Registration-Form
REGISTRATION FORM
2. Postal Address :
Date:
Place:
Speaker 1:
Name :
Sex : M/F
Email Id :
Contact No. :
Speaker 2:
Name :
Sex : M/F
Email Id :
Contact No. :
Researcher:
Name :
Sex : M/F
Email Id :
Contact No. :
Date:
Place:
Signatures:
The Registration Fee of Rs. 2500 (Rupees Twenty Five Hundred Only) is payable by the way
of ‘Demand Draft’ drawn in favour of “The Registrar, HNLU Raipur” payable at Raipur.
Bank Name :
Date :
b) Speaker 2 -
c) Researcher -
…………………………………………………………………………………………………
……
Thankfully received Rs. 2500/- (Rupees Two Thousand Five Hundred only) from
Mr./Ms…………………………………………………………………………………………
of …………………………………………………………………by way of Demand Draft.
HNLU
Date: Signature: