Registration form for one day National conference on "Social and Cultural Problems in India"
to be held on 10 March 2019 at Pankaj Arts College, Chopda
Name of the Participant *
Your answer
Name of the Institute *
Your answer
Contact Number *
Your answer
Email ID *
Your answer
Title of The Paper
Your answer
Type of Participant *
Your complete address *
Your answer
Is the paper Presented/Published/Submitted elsewhere?
Copyright of Publication be given to the organizing secretary?
Payment Details
Fees is Rs 1000/- for all to be paid to
"The Principal, Pankaj College, Chopda"
Account number - 028210004149
IFSC Code - BKDN0520282
Name of Bank - Dena Bank
Branch - Chopda
Payment details
Add payment details such as transaction/Reference number with bank details.
Your answer
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