Registration Form
12th INTERNATIONAL AND 43rd NATIONAL CONFERENCE OF THE INDIAN ACADEMY OF APPLIED PSYCHOLOGY (IAAP, 2008), KOLKATA
February 7th – 9th, 2008

Name :

Designation: 

Address :
 

Telephone No. :   Mobile No.:    

E mail ID: 

Whether IAAP member:   Yes / No

Category of Registration:     National / International        
                                       Delegate / Student / Accompanying person

Payment:    Amount enclosed: …………………..
Details of payment:  Cash / Draft in favour of  ‘IAAP conference 2008’ payable at Kolkata DD 
Draft No………………………          Bank…………………………………………..
             Branch………………………..           Date………………   

Accommodation needed:      Yes / No

Preferred accommodation :            Free accommodation  / Accommodation at Subsidized rate / Hotel 
(Free or subsidized accommodation is not guaranteed )

Travel Details : By Air / Rail/ Road   Train/Air Name and No ……………..

Expected Date and Time of arrival………………………..

Preferred food : Veg / Non-veg 

       Signature of delegate with date 

  
For Office use only
Receipt No………………………………………………………………………………
Accommodation at...……………………………………………………………………
From……………………………………….to………………………………………….
Communicated on…………………………………………………………..

     
Checked                                                                                                   Verified
Signature with date      Signature with date
 
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