Você está na página 1de 1

International Conference

on
AGRICULTURAL MARKETING IN THE CONTEXT OF CHANGING GLOBAL ECONOMIC ORDER
Institute of Development Studies, University of Mysore
Manasagangotri, Mysore 570 006, Karnataka, India
25 -26 March 2011

R E G I S T R A T I O N F O R M
Please print clearly and fill in all fields / columns
Use one form for each person. You may make copies for additional persons.

Name in full: Dr. / Mr./ Ms./ Mrs. :...........................................................................................................................................

Current Designation/Position:.................................................................................................................................................

11
Name of the Institution:...........................................................................................................................................................

Contact Address:.......................................................................................................................................................................

....................................................................................................................................................................................................

....................................................................................................................................................................................................

Phone :......................................................Mobile :.....................................................Fax :.....................................................

Arrival details: Date …..……………


20 Time ……..……… by Train / Bus /Air

Paper Title:................................................................................................................................................................................

....................................................................................................................................................................................................

....................................................................................................................................................................................................
Please specify: Oral Presentation Conference Participation

Accommodation : Conference Personal


AM

Participant Category:
Sponsored by Government/Banks/National & International Institutions/Firms/NGOs, etc Indian Foreign

Academic Faculty Indian Foreign


Research Scholars* Indian Foreign
Students* Indian Foreign
Note: * Subject to production of certificate from the respective institution/research guide
IC

Name of the Bank and Draft No. with date & Amount (Rs/ $):...........................................................................................

Food Option: Vegetarian Non - Vegetarian

NB: Registration fee should be paid by DD drawn in favour of “Organizer, ICAM, Mysore” payable at Mysore.

Signature of the participant

Interesses relacionados