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International Conference Online Registration Form

Please enter the required details below :

Title : *	Prof. Dr. Mr. Mrs.

Name (Participant) : *

Designation : *

Institute / Organization :


If you need a participation certificate, please write exactly how you would like us to print your name. (Use CAPITAL Letters only).


Name : *

Name (Sponsoring Authority) :		Institute/Organization

Postal Address : *

City : *

State : *		State / province / Region

Postal / Zip Code : *

Country : *

E- mail ID : *

Phone No : *		Please prefix STD / ISD Code example � 91 � 20 � 25456763

Mobile No : *

Participation as : *	Academic participants Non academic participants Academic participants from developing countries Non Academic participants from developing countries Academic participants from India Non academic participants from India Post graduate and doctoral students

Accommodation : *	I need accommodation I do not need accommodation

Registration fee: Mode of Payment : *	DD Cheque NEFT

DD / Cheque No :


DD / Banker�s cheque to be drawn on �ASIAN SCHOOL OF MANAGEMENT �, payable at Pune (INDIA).


Bank : *

Branch : *

Amount : *

Date : *

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