Online registration

Personal Information    
     
Name* : [?]
Title* : [?]
Department : [?]
Institution* : [?]
Address* : [?]
City* : [?]
State* : [?]
Country* : [?]
E-mail* : [?]
Zip code : [?]
Telephone* : [?]
     

Registration Fee for Foreign delegates
     
Non Member : $ 400  
IASP Member  : $ 300  
Student : $ 250  
Extra star hotel accommodation : + $ 300  
 
Registration Fee for Indian delegates
     
Non Member : INR 4500  
ISCE Member : INR 4000  
IASP Member  : INR 4000  
Student : INR 3000  
Non-stipend students*   : INR 2000  
:* (Should produce certificate from concerned HOD)
 
Accompanying Person (If any)    
Name (Mr./Mrs./Ms./Dr./Prof.) :
Registration Fee for Foreign delegates
     
Accompanying Member
(Food and accommodation for three days included)		 : $ 200  

Extra star hotel accommodation
(Three nights on request)

 : + $ 300  
 
Registration Fee for Indian delegates
     
Accompanying person : INR 2000  
 
Payments

Registeration Fee to be paid in favour of: "CESP 2012" payable at Trivandrum
Amount*  
Cheque/DD Number *  
     
Cheque/DD Date*
Name of the Bank*  
Abstract

Do you plan to submit an abstract for this meeting.
(on or before 30th November2011) 

 
Your Abstract Must be less than 250 words
3000
characters remaining.
 

 
     



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