REGISTRATION FORM
8th National Conference on Solid State Ionics
( 8th NCSSI-2009)
December 7-9, 2009
8th National Conference on Solid State Ionics
( 8th NCSSI-2009)
December 7-9, 2009
1. Name (Block letters ) : Prof./Dr/Mr/Mrs………………………………………….
Sex : Male/Female
2. Designation : ……………………………………………………………...
3. Institution/Organization : …………………………………………….
4. Address for Correspondence : ……………………………………………………..
……………………………………………………….
……………………………………………………….
Phone :……………… Mobile : ……………………..Fax………………………….
Email : ……………………………..
5. I will attend the conference : YES/NO
I will present a paper ( Oral/Poster ) : YES/ NO
6. Subject Catogory : …………………………………………………………… .
7. Title of the paper : ………………………………………………………………..
………………………………………………………………………………………
……………………………………………………………………………………..
8. Accommodation Required : YES/NO
Accompaning person : ……………………………………….
9. Registration fee/Accommodation fee payment details
Draft NO. …………………………….. date ……………………………….
Amount : Rs…………………………
Date : Signature
Sex : Male/Female
2. Designation : ……………………………………………………………...
3. Institution/Organization : …………………………………………….
4. Address for Correspondence : ……………………………………………………..
……………………………………………………….
……………………………………………………….
Phone :……………… Mobile : ……………………..Fax………………………….
Email : ……………………………..
5. I will attend the conference : YES/NO
I will present a paper ( Oral/Poster ) : YES/ NO
6. Subject Catogory : …………………………………………………………… .
7. Title of the paper : ………………………………………………………………..
………………………………………………………………………………………
……………………………………………………………………………………..
8. Accommodation Required : YES/NO
Accompaning person : ……………………………………….
9. Registration fee/Accommodation fee payment details
Draft NO. …………………………….. date ……………………………….
Amount : Rs…………………………
Date : Signature