Registration form of Social Network Analysis
17th-23 December, 2016
Name of the participant *
Please mention as you require on the certificate
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
E-Mail Id: *
Your answer
Mobile Number *
Write as +91(your mobile number)
Your answer
Qualification *
Your answer
Designation *
Id proof must be submitted when registering
Department/Division *
Example: Department of Liberal Arts.
Your answer
Full Name of the Institution/Organisation *
Example : Indian Institute of Technology Hyderabad
Your answer
Location of the Institution *
Your answer
Registration details
Please refer the registration fee details in web page and fill accordingly.Payment details are required before filling the form.All payments should be made in the form of 1. Electronic Fund Transfer (RECOMMENDED) Remittance from abroad/India using SWIFT code SBININBB762, IMCR CODE:502002528 Name of the Bank: State Bank of India,IIT Kandi,Hyderabad, India. Branch code: 014182 SWIFT Code: SBIN0014182 (Within India) Account No.:30859878032 (Current A/c) 2. Demand Draft In favour of “Registrar,IIT-Hyderabad”, payable at Hyderabad.3. Cheque in the name of “Registrar,IIT-Hyderabad”.
Fee for Participation *
Mode of Payment *
Total Amount Paid *
Your answer
DD / online transaction number *
payment proof along with the ID proof has to be emailed to mpganesh@iith.ac.in & gian_registraion@iith.ac.in
Your answer
Food *
Refreshments and Lunch coupons will be provided for all 7 days (Participants has to pay an extra fee of Rs 2500 at the registration time)
Accommodation *
The accommodation has to be met by participants. There are number of hotels available nearby IIT Hyderabad. Limited accommodation on payment basis will be provided on a first cum first serve basis in the IITH hostels. please drop an email to mpganesh@iith.ac.in
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