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Please mail the mode of payment along with details immediately for our convenience to [email protected]
Contact: 9422095481, 9423153402
ETDAB 2019 National Conference Deogiri College, Aurangabad.MS
REGISTRATION FORM
Name (Block letters)…………………………………………………………………………………………………………………………
Designation:………………………………Affiliation/Institute………………………………………………………………………..
Postal Address…………………………………………………………………………………………………………………………………
Paper Title (Oral/Poster)………………………………………………………………………………………………………………...........
………………………………………………………………………………………………………Theme……………………………………...
Mobile: ……………………………… Email ...……………………………………………...…………………………………………….
Payment Details:
1. Bank draft (payable at Aurangabad in favor of Principal, Deogiri College, Aurangabad)
Draft No………………………………………………….Amount…………………… Date / / 2019
Name of the Bank …….…………………………………………………………………...……………………………………………
2. Online transfer details:
Reference No/UTR. …………………………… Date / / 2019
Name of the Bank ...……………………………………………………………………………………Debit /Credit Card
Date: Signature of Participant
Name :
HDFC Bank Details Account Name Principal, Deogiri College,
Aurangabad. Bank Ac No 50200032287344 IFSC Code HDFC0001453
Branch Kalda Corner, Aurangabad.
*Early bird registration fees will be accepted only before 15th Dec 2019.
