| Registration for |
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Workshop1
Indo-French Workshop
Workshop 1 & Indo-French Workshop
Workshop2
Conference |
| Delegate Registration |
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Overseas
India
Students
Organization
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| Name and Address of Delegate |
| Title |
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| First Name |
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| Last Name |
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| Institution |
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| Address |
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| City |
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| Country |
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| Pin |
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| Phone |
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| Fax |
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| Email |
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| Overseas Delegate Information |
| Nationality (Self) |
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| Passport No. (Self) |
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| Accompanied by Spouse |
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Yes
No |
| Nationality of Accompanying Spouse |
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| Passport No. of Accompanying Spouse |
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| I intend to give a talk |
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Yes
No |
| Title of Presentation |
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| Abstract (In Latex or ASCII) |
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| Travel Plan - Arrival at
Bangalore |
| Likely Date of Arrival |
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| Arriving From |
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| Mode of Travel |
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Air
Rail |
| Need assistance with travel
arrangements? |
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Yes
No |
| Travel Plan - Departure
from Bangalore |
| Likely Date of Departure |
: |
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| Departure Time |
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| Departure to |
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| Mode of Travel |
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Air
Rail |
| Need assistance with travel
arrangements? |
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Yes
No |
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Accommodation Preference
Among many hotels in Bangalore, we have chosen
the following hotels, because of their proximity to
Indian Institute of Science and the quality of their
service. Transport to and from the venue will be arranged
for those staying at these hotels. |
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At Conference Hotels - Download
Hotel Registration form. |
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Private Accommodation |
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| Contact address in Bangalore |
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| Name |
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| Address |
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| Phone |
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| Fax |
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| Email |
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| Social Excursion |
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| There will be an excursion
on one day of the workshop/Conference to give participants
a chance to see some local points of interests. |
| Would you like to join the social excursion? |
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Yes
No |
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| Please
submit your On-line Registration Form before the deadline. |
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If you would rather mail us
the registration form, please download
the print version of the form and mail it before
the deadline
to:
The Secretariat
IISc Mathematics Initiative (IMI)
Department of Mathematics
Indian Institute of Science
Bangalore - 560012. INDIA.
Phone: +91-80-23605390, 22933217, 22933218
Fax: +91-80-23605390, 23600146, 23600085
E-mail: imi@math.iisc.ernet.in |