Registration FormInternational Conference

On“Agriculture, Forestry, Horticulture, Aquaculture, Animal Sciences, Food Technology,

Biodiversity and Climate Change: Sustainable Approaches”(AFHAFBC-2014)

Organized by“Krishi Sanskriti”

on30th and 31st August, 2014

Venue:Jawaharlal Nehru University, New Delhi

Name: Dr/ Mr / Mrs / Ms________________________________________________________________Title of the Research Paper:________________________________________________________________________________________________________________________________________________Sex: (Male/Female)___________________________________________________________________Category :( Faculty/ Research Scholars / Students / NGO /Industry/Participant)___________________Organization: ________________________________________________________________________Department: _________________________________________________________________________Designation: _____________________________________________________________________Correspondence Address: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________Pin:_____________________________________ Phone No.:_______________________________E-mail: ______________________________________________________________________________Accommodation Required (Yes/ No):______________________________________________________Duration from ________________________________________________________________________Date and time of arrival_________________________________________________________________Date and time of departure______________________________________________________________If you are unable to attend the conference (Kindly mention here absentia) _________________________Registration Fee: (Please tick)Registration Charges:

Categories Indian DelegatesSAARC/ African Country Delegates

Rest of the countries

Academic faculty/Industrial Delegates 4000 INR 150 USD 350 USDResearch Scholars(Ph.D) / NGO Representative 3500 INR 125 USD 250 USDStudents(B.Tech/M.Tech /M.Sc etc) 2500 INR 100 USD 200 USDPrinting of Additional Pages as chapter in edited book /in Journals 400 INR 15 USD 20 USDListener / Accompanying Member(only Indian Delegates) 1500 INR ** **Print copy of research article as chapter in edited book/Journal & Certificate (additional copy) for Co-Authors (if required in absentia) 800 INR 20 USD 30 USDOnly Print copy of research article as chapter in edited book /Journal (additional copy) for Co-Authors (if required in absentia) 500 INR 15 USD 25 USDOnly Certificates (Co-Authors in absentia) 300 INR 10 USD 20 USD

Additional Research paper for same authors 1500 INR 25 USD 35USD

Payment Method: (Cash Deposit / NEFT/Wire Transfer)______________________________________

Registration FormPayment Details:Issuing Bank: ___________________________________________________________________Amount & Date:__________________________________________________________________NEFT/RTGS/ Wire Transfer No.:________________________________________________________Scanned copy of Cash Deposit receipt attached (Yes/ No)____________________________________

Name of Authors/Co-authors for whom certificates is required (if paid extra for additional certificates):

1) ________________________________

2) ________________________________

3) ________________________________

4) ________________________________

5) ________________________________

6) _________________________________

Bank Details for NEFT / Online Transfer:Beneficiary Name : Krishi SanskritiBank Name : Canara BankBank Address : Jeet Singh Marg, New DelhiAccount No. : 1484101026988Account Type : SavingsIFSC Code : CNRB0001484Swift Code : CNRBINBBBID

Name:

Place:

Dated: Signature:

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