Please use the following format for registration.

Registration Form for International Meet on  A & TW

To

The Organizers,

International Meet on A & TW.

Please register me as a delegate for the International Meet on 'Ancient & Traditional Wisdom in Agriculture, Environment & Health for Sustainable Development'.

1.   Name (block letters):

2.   Type of Applicant:

             (    ) Individual

             (    ) Student

3.

(    ) I intend to participate in the Seminar without submitting any Paper / Poster

(    ) I intend to submit a Paper / Poster

        The proposed title of the Paper / Poster is:

4.

(    ) I belong to India

(    ) I belong to one of the SAARC Nations

(    ) I belong to a country other than India / SAARC

5.

Postal Address:

Email address:

Telephone:

Fax:

6.

Details of Demand Draft, drawn in favor of The Chairman, Organizing Committee,A & TW Seminar, Varanasi,  submitted as fee (DD No.,Date,Bank etc.):

Date: