Workshop on Building an Institutional Repository using "DSpace"

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12th & 13th March 2015

S. P. Jain Institute of Management & Research, Mumbai

REGISTRATION FORM

Please fill up the below form and submit by 20 Feb 2015

Title

Name (As you would like it to be on the Certificate) *

Designation *

Organization

Address

Email *

Phone (Office)

Mobile

Academic Qualification *

Payment Details

Workshop fees: INR 1800/- (Rupees One Thousand Eight Hundred Only) which includes, breakfast, working lunch, tea and workshop kit. (Excludes travel and accommodation)

Please send the payment cheque or Demand Draft in favour of "S. P. Jain Institute of Management & Research", payable at par by 20 February 2015.

Please note that Registration fees is non-refundable.

Payment By

Demand Draft

Cheque

Wire transfer (Bank details would be sent to you through Email)

DD/Cheque No.

Dated

YYYY

Drawn on (Bank & Branch)

Please send the DD/Cheque to

Mrs.Madhavi Wadkar
Librarian
S.P.Jain Institute of Management & Research
Andheri Bhavan's Campus, Munshi Nagar,
D. N. Road, Andheri (W),
Mumbai 400058

(please mention your name and organization on the back of the DD/Cheque)

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