ࡱ> >@=5@ ^bjbj22 "(XX^8D~$vR##8SSSSSSm`| b^WYN0~_,J^JJ<RStVi##D DI  Registration form for Non-Indian Delegates Full Name: Gender (M/F): E-mail address: Official address: Residential address: Whether accompanied by spouse/dependents? If so, details Accommodation required/Not required: (if yes, do you require single occupancy room (US$ 200 for 4 nights) or double occupancy room (US$100 for 4 nights) Vegetarian/Non vegetarian: Category: Student/Academic: Title of the presentation: Payment details of registration (Amount, nature of transfer, details of Bank, date of transfer etc) Any other special request: REGISTRATION DETAILS Registration Upto December 15, 2007After December 15, 2007Delegates US $ 450* / US $ 550#US $ 500* /US $600#Ph.D. StudentsUS $ 350* / US $ 450#US $ 400*/ US $ 500#Accompanying personUS $ 200US $ 200* Accommodation not included # Shared double room accommodation included Registration fee includes local transportation, conference materials, lunches and special dinners, coffee/tea/snacks (during the conference), cultural evenings, and one boat trip in Vembanad Lake. The payment details All payments should be made payable to convener ICAM2008. Kindly indicate your name and name of the conference (ICAM 2008) at back of the bank draft. Registration will only be confirmed upon receipt of payment. STATE BANK OF INDIA, KOTTAYAM, MAIN BARANCH SWIFT CODE - SBININBB396 A/c.No. : 30169324259 In Favour of Dr.Suresh Mathew Convener, ICAM 2008 School of Chemical Sciences Mahatma Gandhi University Branch No. 1891  fg{|R ] k m p $ & 4 H I K X [ r s t wiw^whhCJaJhh5B*\ph+hh5B*CJOJQJ\aJphhhB*ph+hh5B*CJOJQJ\aJphhh5 *hh5hhlJmh CJOJQJ^JaJhw{CJOJQJ^JaJhlJmCJOJQJ^JaJh`%CJOJQJ^JaJ$+,8FVh}R n $ % & ' ( ) * gdlJm$,dhH$^,a$gd hdhH$^hgdlJm & FdhH$gd`% & FdhH$gdlJmH$gdlJm^* + , - . / 0 1 2 3 4 I J K Y [ s $Ifgd KK]K^Kgd$a$gdgdlJm aXXX $Ifgdkd$$IfF  06    34ab p       % & / 0 1 2 M N O z { | ~  D G [ ^ 0 3 ^ _ ` x y íí{h*:h5B*ph(h*:h5B*CJOJQJaJphh*:B*CJOJQJaJph+hh5B*CJOJQJ\aJphhhCJaJ%hhB*CJOJQJaJph%hhB*CJOJQJaJphhhB*ph0  aXXX $Ifgdkd$$IfF  06    34ab p   & 0 aXXX $Ifgdkd$$IfF  06    34ab p0 1 N { aUU $$Ifa$gdkd$$IfF  06    34ab p{ |  E G \ ^ 1 3 _ ` y KK]K^Kgdikd$$If 0634abp y GH\]^ѼhKhh*:B*phh*:h5B*ph(h*:h5B*CJOJQJaJphh*:B*CJOJQJaJphhhB*ph%hhB*CJOJQJaJph GH]^ KK]K^Kgd 1h/ =!"#$%$$If!vh5 5o 5v #v #vo #vv :V 06,55/ 34p$$If!vh5 5o 5v #v #vo #vv :V 06,55/ 34p$$If!vh5 5o 5v #v #vo #vv :V 06,55/ 34p$$If!vh5 5o 5v #v #vo #vv :V 06,55/ 34p$$If!vh5 #v :V 06,5/ 34p @@@ lJmNormalCJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k@(No ListL^`L  Normal (Web)dd[$\$ B*ph^(+,8FVh}Rn $%&'()*+,-./01234IJKY[s&01N{|EG\^13_`yGH]`00 0 0 0 0 0 00 00 0 0 0  0  0 000 000 00 00 00000 0 00p0p00h 0h 0h 0l 0h 0h 0h 0l 0h 0h 0h 0l 0h 0h 0h 0l 0h0h 0l 0 000000000p000000 0 00+,8FVh}Rn$%KY[s&01N{|EG\^13_yH]`00 0 0 0 0 0 0 0 0 0  0 Oy00 @0`Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00Oy00My00Oy00My00O900 y ^ *  0 { ^ ^ ':(:\):7*:+:,:D-:c.:"/:40:,1:2:$53:d4:baz66?AA--5<`     r>CCFF  4;FF`   Z *urn:schemas-microsoft-com:office:smarttags PlaceNamehttp://www.5iantlavalamp.com/Z *urn:schemas-microsoft-com:office:smarttags PlaceTypehttp://www.5iantlavalamp.com/_*urn:schemas-microsoft-com:office:smarttagscountry-regionhttp://www.5iantlavalamp.com/V *urn:schemas-microsoft-com:office:smarttagsplacehttp://www.5iantlavalamp.com/8*urn:schemas-microsoft-com:office:smarttagsdate 12152007DayMonthYear  \```3,}R %41`|H]``DFTasdSt<hh^h`CJaJhH. ^`hH. pp^p`hH. @ @ ^@ `hH. ^`hH. ^`hH. ^`hH. ^`hH. PP^P`hH.SD& PRbzT)#0Xbܰ         }'|R9p}L'UF}a?9F}9PDG}`:M}'|RL'X}#Kc}  lIllJmw{*:K`%Y[s&01{|`@>>j=>>^`@UnknownGz Times New Roman5Symbol3& z ArialA& Trebuchet MS"qhpx&px&k k !24[[3QH)?K&Registration form for Indian DelegatesDFTasd Oh+'0   < H T`hpx'Registration form for Indian DelegatesfegiDFTFTFTNormalaasd2dMicrosoft Word 10.0@F#@P@Pk՜.+,0 hp|  t [A 'Registration form for Indian Delegates Title  !"#$%&'()*+,./012346789:;<?Root Entry Fn^AData 1TableZWordDocument"(SummaryInformation(-DocumentSummaryInformation85CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q