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Helpdesk:
Sarbojit Biswas, Member, Working Committee:
Jati Sankar Mondal, Member, Working Committee:
Arindam Das, Member, Working Committee:
Personal Details
Title: ....... First Name: .......................……..Surname: .....................…………….
Institutional Affiiliation………………………………........……………………………..
Address:..
.....…………………………………………………………………………………………..
.....……………………………………………………………………….………………….
Phone(H): . Phone (w): ......................................……..
Fax: ....................................................... Email:.
Please indicate any dietary, sensory or mobility needs:
..Vegetarian../ Non-vegetarian.………………………………………………………………………………………….
.Date of Arrival:
Payment Mode : Credit Card/ Money Transfer ( Please tick )
Please fill in the Registration Form and send it to us immediately. This helps us build up the conference database
Please send your Regstration form to the following email address:
Mr Tapu Biswas, Assistant Secretary, SSEI
bravenet.com