riam2018

Seminar on

Recent Innovations in Advanced Materials (RIAM-2018) :

Physics of Advanced Materials

18 – 19 September 2018

REGISTRATION FORM

1. Name             : …………………………………………………………………………………………                                                  

2. Designation  : …………………………………………………………………………………………

3. Organisation : …………………………………………………………………………………………

4. Category       : MRSI or IIM Member/ Non-Member / Student (Pl. Tick)

5. MRSI Membership No. : …………………………………………………………………………………………

6. Student ID. No.              : …………………………………………………………………………………………

7. Your participation in the Seminar : Author / Invited Speaker / Other delegates (Pl. Tick)

8. Title of the Paper : …………………………………………………………………………………………………….

……………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………

9. Registration Fees  : Rs. …………………….

Mode of Payment : Demand Draft / RTGS   (pl. Tick)

Demand Draft No.: ……………………………………….. & Date: ………………………………….

              (Demand Draft should be drawn in favour of MRSI, Bhopal Chapter, payable at Bhopal)

Bank-transfer UTR No: …………………………………………………………………….

Note: Confirmation of your registration will be sent through e-mail.

Date:                                                                   Signature:

                                                                                              Name:

Bank Details for payment through RTGS / NEFT

Bank Name   : Andhra Bank

Branch           : RRLabs, Saket Nagar, Bhopal,  Code: 1316

Account No. : 131610011004096

IFSC Code      : ANDB0001316

 

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Bank Details For Payment Through RTGS/NEFT

Bank Name Andhra Bank
Branch RRLabs, Saket nagar Bhopal , Code; 1316
Account no. 131610011004096
IIFC Code ANDB0001316