December 17-20, 2007
Registration Form (Please strike out whatever is not applicable)
(Last Name) (Initials)
Sex : Male / Female
Designation : ______________________________
(Prof./Reader/Lecturer/Sci.Off./R.A./Student etc)
Registration Fee Category: I / II / III
Address : ___________________________________________________________________________
Pin Code : _________________
Tel. : _____________________
Fax.:______________________
E-mail. ____________________
Proposed Contribution: Thesis / Contributory Paper / Exhibition / Only participation
Financial Assistance* :Full/Partial / Not required
Accommodation Required :Single, Single (Twin Sharing)/Family/ Not required
Accommodation Required from Dec.___ to___, 2007.
Please note: Hotel charge for a double occupancy room will be about Rs. 350/- per head per day; charges for a single occupancy room will be about Rs. 750/- per day.
Date Signature:
Please note:
- Hotel charge for a double occupancy room will be about Rs. 350/- per head per day; charges for a single occupancy room will be about Rs. 750/- per day.
- The duly filled & signed registration form along with the DD should reach the Co-Convener at M.S. University of Baroda, Vadodara on or before November 7, 2007.
- For additional copies, please photocopy this form*Can be provided to very limited number of deserving students only, for whom the institute of affiliation is unable to pay. Please attach recommendation letter from your guide.
Dr. C. J. Panchal
Co-Secretary NLS-07
Applied Physics Department, Faculty of Technology and Engineering
M. S. University of Baroda, VADODARA-390001, GUJARAT STATE, INDIA
Cell: +91 9825094761
Fax: +91 265 2423898
