ICOPVS2008 :: Registration

ONLINE REGISTRATION FORM FOR PRE-CONFERENCE TUTORIAL ON CHEMOMETRICS ::

NAME
Title:
First Name:
Middle Name/ Initial(s):
Last Name:
DELEGATE DETAILS
Delegate Category:
CONTACT INFO
College/University/Institute/Company:
Department/Division:
Address:
City/Town:
State:
Country:
Postcode:
Phone:
Fax:
Mobile:
Email:
Area of Specialization:
SPOUSE/ACCOMPANYING PERSON
Title:
First Name:
Middle Name/ Initial(s):
Last Name:
REGISTRATION FEE STRUCTURE

Delegate Registration Fee	Amount
International Delegate	50 Euros
Indian Delegate	INR 2000
International Industry Delegate	100 Euros
Indian Industry Delegate	INR 5000

SELECT A PAYMENT METHOD

Wire Transfer Wire transfer in favour of ICICI Bank Ac No: 033601000859 Swift Code: ICICINBBXXX		Bank Draft Payments can also be made by Bank Draft/ Demand Draft in favour of 'ICOPVS 2008' payable at Trivandrum
Our Bank Address: ICICI Bank Ltd., TC 1/1491, Pazhaya Road, Medical College, Trivandrum 695011, Kerala, INDIA
• Delegates from saarc countries may effect payment in INR/Euros. • Kindly indicate your name, contact number and name of the conference (ICOPVS 2008) at the back of bank draft. • All bank/demand drafts should be made payable to 'ICOPVS 2008' at Trivandrum and mailed to below address.
Prof. V.S. Jayakumar Convenor, ICOPVS 2008 Head, Postgraduate and Research Department of Physics, Mar Ivanios College Trivandrum - 695015 Kerala, India Tel: +91- 471-2530887 (Dept), Fax: +91- 471-4082708 Mobile: +91- 9447000266, Email: vsjk@icopvs2008.org