Registration for IPI's Governance Reforms Conference, 13-14 April 2013

Please complete the following information and make necessary payment to the India Policy Institute. The conference will go ahead subject to a minimum attendance that will be finalised by 25 March, 2013. It is not expected that the conference will be cancelled. However, should that happen, funds received will be reimbursed.

Name

(in full, including any titles e.g. Dr.)

This is a required question

Name of organisation

This is optional - in case your participatin is being funded by an organisation

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Your email address

We will use email to contact you. If you have two email addresses, please give them both.

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Your address

Please provide postal address in full.

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Your phone number/s

Please provide your mobile number and land line number

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Your highest qualification

This is a required question

Nature of your interest in governance

As general citizen
As an academic
As a practitioner (e.g. public servant)

This is a required question

Meal preference

Vegetarian
Non-vegetarian

This is a required question

Payment

Note that under the new system, Indian citizens are not being charged, but sponsorship will be needed to run the conference. Please assist in getting sponsorship.

Yes (for non-Indians)
Not required to pay (Indian citizen living in India)
Will sponsor through payment to India Policy Institute

This is a required question

Any other comment/question/suggestion

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