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Registration Form for GCeMP 2K20
For any queries related to registration, feel free to call Mr. Amit Shukla (+91 94278 16601)
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Name :
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Your answer
Name of Institute/University/Company :
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Your answer
E-mail Id :
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Your answer
Contact No :
Your answer
Registration For
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GCeMP 2K20 Conference Paper Presentation
GCeMP 2K20 Conference participation
Title of the Research Paper
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Your answer
Number of Authors
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One
Two
Three
More then three
Category
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Choose
Academician (INR 2500)
Corporate Representative (INR 2800)
Alumni (INR 1400)
Research Scholar (INR 1400)
Student (INR 800)
Spouse of Delegate (INR 1200)
International Delegate (US$ 100)
Ph. D/Research Scholar (International) (US$ 50)
Payment Option
*
NEFT : The Mehsana Urban Co-op Bank Ltd., Ganpat University- Mehsana Extension Branch, Account Name:V M Patel Institute of Management Account Number: 00261001000306 , IFSC Code: MSNU0000026
Demand Draft (In favour of V M Patel Institute of Management)
Account Holder Name :
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Bank Name :
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Transaction ID/Reference No/DD No. :
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Date of Transaction
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