REGISTRATION FORM

RENEWABLE ENERGY FOR RURAL DEVELOPMENT (ISORE-2010)

INTERNATIONAL SYMPOSIUMON

Delegate Name

Address

Tel. No.

Moblie No.

E-mail

Sex

Abstract enclosed

Preference

Registration Fee

Mode of Payment

Demand Draft Number

Amount

Accommodation Needed

Signature

(Prof./Dr./Mr./Mrs./Miss):

:

:

:

:

:

:

:

:

:

:

:

: Yes / No

:

Male / Female

Yes / No

Oral / Poster / Participation

Faculty / Industry / Spouse / Other

Cash / Demand Draft

Principal, S. N. Arts, D. J. M. Commerce and B. N. S. Science College payable at Sangamner.

Dated :

Payment to be made by Demand draft in favor of

Principal, S. N. Arts, D. J. M. Commerce and

B. N. S. Science College

payable at Sangamner.

Rs.

Date :

S. N. Arts, D. J. Malpani Commerce & B.N. Sarda Science College, Sangamner

Shikshan Prasarak Sanstha's