5th NATIONAL MOOT COURT COMPETITION, 2015

FACULTY OF LAW, JAMIA MILLIA ISLAMIA

NEW DELHI-25

(To be filled in BLOCK LETTERS)

NAME OF THE COLLEGE :____________________________________________________________

EMAIL ADDRESS OF THE MOOT COURT COMMITTEE : ________________________________

SPEAKER #1:

NAME: ______________________________________________________________________

YEAR/COURSE:_____________________________________________________________

EMAIL ID & CONTACT NO. : ________________________________________________

SPEAKER #2:

NAME: ______________________________________________________________________

YEAR/COURSE:_____________________________________________________________

EMAIL ID & CONTACT NO. : ________________________________________________

REGISTRATION FORM

Self Attested

Photograph

Self Attested

Photograph

RESEARCHER:

NAME: ______________________________________________________________________

YEAR/COURSE:_____________________________________________________________

EMAIL ID & CONTACT NO. : ________________________________________________

THE SPEAKERS AND THE RESEARCHER ARE THE BONA FIDE STUDENTS OF THE COLLEGE.

(BY SENDING THIS REGISTRATION FORM, THE PARTICIPANTS AGREE TO COMPLY WITH THE

RULES & REGULATIONS OF THE COMPETITION)

DEMAND DRAFT DETAILS:

(TO BE MADE IN FAVOUR OF “The Registrar, Jamia Millia Islamia payable at New Delhi)

DRAFT NO. : ________________________________________________________________________

NAME OF THE BANK. : _____________________________________________________________

DATE : ______________________________________________________________________________

________________________________________________________________

SIGNATURE AND SEAL OF THE HEAD OF THE INSTITUION

THE DULY FILLED REGISTRATION FORM MUST BE POSTED TO THE FOLLOWING ADDRESS

ALONG WITH THE DEMAND DRAFT BY_________________ AT :

FACULTY OF LAW

JAMIA MILLIA ISLAMIA

NEW DELHI- 110025

A SCANNED COPY OF THE REGISTRATION FORM AND THE DEMAND DRAFT MUST ALSO BE

EMAILED TO ____________________

Self Attested

Photograph

5th NATIONAL MOOT COURT COMPETITION, 2015

FACULTY OF LAW, JAMIA MILLIA ISLAMIA

NEW DELHI-25

TO BE EMAILED TO THE MCC AT (email id) ON OR BEFORE ( last date of submission)

(To be filled in BLOCK LETTERS)

NAME OF THE COLLEGE: ______________________________________________________________

ARRIVAL:

1. Arriving on (Date):_________________________________________________________________

2. Mode (Train/Airline/Bus):_________________________________________________________

3. Number/Name:___________________________________________________________________

4. Time of arrival of Train/Airline/Bus:_______________________________________________

5. Other Details (eg. Name of Airline, Train station etc.):_______________________________

DEPARTURE:

1. Leaving on (Date):_________________________________________________________________

2. Mode (Train/Airline/Bus):_________________________________________________________

3. Number/Name:____________________________________________________________________

4. Time of departure of Train/Airline/Bus:____________________________________________

5. Other Details (eg. Name of Airline, Train Station etc.):_______________________________

FOOD PREFERENCE (VEG/NON VEG):

TRAVEL/ACCOMODATION FORM