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REGISTRATION FORM
URJAA- The Battle of Words, 2017
Date: 6th- 7th October, 2017
LOK SABHA COMMITTEE
(FORM FOR PARTICIPATING IN THE LOK SABHA COMMITTEE)
Name of the Institution *
Your answer
Address of the Institution *
Your answer
Phone no. of the Institution *
Your answer
Name of the Candidate *
Your answer
Gender *
Nationality *
Your answer
Year/Semester *
Your answer
Contact Number *
Your answer
Email-ID *
Your answer
Any Past Experience
(Note: Details regarding the participation of the participant in any such event previously.)
Your answer
Portfolio Preferences
(Please refer to the Portfolio Matrix for the options. )
Your answer
Mode of Payment (Transaction Details) *
* Deposit of Participation Fee is NOT ALLOWED ON THE DAY OF THE EVENT. In case of Mode of Payment as Cash, you will be contacted by the Organisers as soon as possible. The Payment of fee is Necessary for the Allotment of Portfolios.
BANK DETAILS FOR NEFT/ ONLINE TRANSFER
BENEFICIARY NAME: IDEAL INSTITUTE OF MANAGEMENT TECHNOLOGY (SCHOOL OF LAW)
BANK NAME: CENTRAL BANK OF INDIA
A/C No. 3183291816
IFSC CODE: CBIN0283323
BANK ADDRESS: S.D. SENIOR SECONDARY SCHOOL, SHAHDARA, DELHI-110032
UNDERTAKING: THE INSTITUTE HEREBY UNDERTAKES THAT ALL THE PARTICIPANTS SHALL ABIDE BY THE RULES AND REGULATIONS OF THE COMPETITION
Name of The Bank
(In case of DD/IMPS/NEFT)
Your answer
DD/ Transaction Number
Your answer
Date of Deposition of Fee *
MM
/
DD
/
YYYY
VENUE
IDEAL INSTITUTE OF MANAGEMENT AND TECHNOLOGY & SCHOOL OF LAW (GGSIP UNIVERSITY, Delhi)
16-X, KARKARDOOMA INSTITUTIONAL AREA, DELHI-110092
PH. NO. 22372639; 22375691
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