REGISTRATION FORM - BICON 2017
BIYANI INTERNATIONAL CONFERENCE 2017.
PLEASE FILL THE DETAILS IN CAPITAL LETTERS.
View Conference Brochure on http://biyaniconference.com/pdf/Workshop-Brochure.pdf
Name of Participant *
Your answer
Status/Designation *
Your answer
Organization/Institution *
Your answer
Address *
Your answer
Phone Number
Your answer
Mobile Number *
Your answer
Email ID *
Your answer
Registration For (Please select one) *
Registration Fee for Conference (Per day)
Accommodation Required (Available on Twin Sharing basis/per day, AC Room Rs. 1500/- and Rs. 2000/- after 05 Oct. 2017) *
Check-In Date
MM
/
DD
/
YYYY
Check-Out Date
MM
/
DD
/
YYYY
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