Format of Registration Form

UGC Sponsored National Seminar on
Triangulation of Literary Theory, Text and Literariness
August 27-28, 2011
N S Patel Arts College, Anand
Office Ph. No. : +91 2692 250640 
email: nsp.eng.dept@gmail.com

REGISTRATION FORM

Full Name : ..........................

Designation : ………………….

Home Address : ...........................
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Phone : .........................
Email : ..........................

Institution Address : ..........................
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Phone : ..........................
Email : ..........................
Registration type : Participation □ / Paper Presentation □ (tick one)
Title of Paper : ..........................
Registration fees : For faculty - Rs.300/-
For research scholar/student - Rs. 200/-
Accommodation needed : Yes/ No
Accommodation : Available on prior notification
Payment is made by : Cash/Cheque/ Money order

Payment Details : …………………..

Date: ..........................                 Signature: ..................