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S.No.
Name
Designation
E-mail
Mobile
1
*
*
*
*
2
3
4
5
Organisation Name
*
:
Address
*
:
Phone
:
E-mail
:
Fax
Registration Fee
National Delegate
:
Rs.
22000/-
Accompanying Spouse
:
Rs.
8000/-
International Delegate
:
US$ 1200
Accompanying Spouse
:
US$ 500
National Authors
:
Rs.
20000/-
International Authors
:
US$ 1000
National Students
:
Rs.
8000/-
International Students
:
US$ 500
Total Number of Delegate (s)
*
:
Payment Details
The payment of registration fee for delegate should be made in Indian rupees for National delegates and in US$ or its equivalent convertible currency for International delegates by bank draft/cheque in favour of "
Energy And Environment Foundation
." payable at New Delhi. (Payment can also be made online through credit card)
Payment Mode
:
Cheque/Draft
Online
Cheque / Draft No
*
:
Date
*
:
Drawn on
*
:
City
*
:
Amount
*
:
*
Mandatory Field
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