ETTLIS 2010
ONLINE REGISTRATION FORM
Registration for Non-Authors (Participent Only)
Registration Details:
Fields marked with * are Mandatory.
*
E-mail ID
:
Enter the E-mail ID, which you would like to associate with this Registration.
*
Password
:
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Registration Category
:
Working Professional (Indian) / Retired Person or Student (Indian)
SAARC Countries Delegate / Other Country Delegate
Kindly Mention in the Text Box Below -
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Total No. of Delegates
:
*
Accommodation Category
:
Hostel Accommodation
Hotel (Accommodation charges extra from Rs. 1500/- to Rs. 6000/-)
Payment Details:
All Fields are Mandatory.
Demand Draft No.
:
Please make sure that DD is in the name of " JAYPEE UNIVERSITY OF INFORMATION TECHNOLOGY " Payable at Shimla (H.P.)
Demand Draft Date
:
Kindly enter the date in dd/mm/yyyy format only. e.g. 03/06/2010
Name of the Bank
:
DD Currency
:
U.S. Dollar (US$)
Indian Rupees (Rs.)
DD Amount
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Registration Remark
:
Please note:
• Registration fee is non-refundable.
• Registration fee does not include accommodation.
• Registration will be confirmed only if the form is duly completed and payment received in full.