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REGISTRATION FORM
International Conference on
Luminescence and its Applications
ICLA-2008
February 13-16, 2008
National Physical Laboratory, New
Delhi
I intend to attend the symposium/and
present a paper.
Title of the Paper:
_____________________________________________________________________________________
Name: Prof / Dr / Mr. / Mrs. ______________________________________________________________________________
____________________________________________________________________________________________________
Designation :
_________________________________________________________________________________________
Address :
___________________________________________________________________________________________
____________________________________________________________________________________________________
Phone : (O) ___________
(R) :
E-mail
:______________________________________________________________________________________________
Fax :
_______________________________________________________________________________________________
Accommodation required: Yes / No.
I wish to participate in Introductory school on Luminescence :
Yes / No.
DD No. : (In favour of ICLA-2008 payable at Delhi)
Date
Amount and Name of the Bank:
Date :
Signature
Registration Forms may be filled in and sent to
Dr. Harish Chander
Convener, ICLA - 2008
LMD Group
Division of Electronic Materials,
National Physical Laboratory
Dr. K. S. Krishnan Road, NEW DELHI 110012
Phone No. : 091-11-25742610-12 Ext. 2284
/ 2268 091-11-26531110 (res) Cell : +919868170932
E - mail :
iclahc@mail.nplindia.ernet.in
Fax :
091-11-25726938, 091-11-25726952
Payments
The delegates can make the
registration through online by visiting our website : www.alpcord.com/payment.html
Kindly fill up all the required
fields in the form and submit. The ICICI Bank Secured
Payment gateway
will appear where the VISA Credit Card details
can be put.
Kindly add 2.5% handling charge in the total amount.
The confirmation will be
sent to the delegates within two working day after receiving the
payments.
Download
registration form :
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