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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

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    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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