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Conference ‘Registration form

Name *

Designation *

Institution *

Address for Correspondence *

Contact Number *

Email Id *

(Paper presenters only) (Enclose abstract in about 150 words)*

Accommodation required : No. of days ----*

For accommodation details please visit the Hotels/Hostels at Bilaspur page

Accommodation charges : Accommodation and registration amount can be sent by the same DD / Cheque / Money Transfer

Registration Fee :

Participants are expected to register themselves and pay the registration fee in advance as per the following details, by sending a
DD / Cheque in favour of ‘ ELTAI ’, Payable at CHENNAI Or payment made through bank transfer.

The account details:

SBI, Santhi Colony, Anna Nagar Chennai – 600 040
A/c No. : 30870397943, IFSC Code No. : SBIN 0002196
MICR NO. : 600002005

Details to be sent to

The Secretary, ELTAI, D-54, Third Floor, Anandam Apartments
# 156, Sidco Nagar Main Road, Villiwakkam, Chennai – 600 049

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