REGISTRATION FORM





First Name :         

Last  Name :         

Designation :        

Nationality :        

Passport No. :       

Date Of Issue :      

Place Of Issue :     

Title Of The Paper : 

Mailing Address :    

                          
 
                          
 
                          

E-Mail :             

Fax :                

Date Of Arrival :    

Date Of Departure :

Please choose any one of the following options for accomodation :
Hotel ($80 per night)
Guest House ($25 per night)
Hostel ($10 or Rs. 300)
Own Accomodation

Choice Of Accomodation For Accompanying Persons :