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REGISTRATION

Without payment details registration will not be confirmed.
Payment Details (Demand Draft to be drawn in favour of "CT 2009", payable at Canara Bank, Jadavpur Branch, Kolkata)

*First name:

*Suname/Family name:

*Email:

Phone:

Mobile:

*Designation:

*Organization:

Address:

Postal Code/Zip code:

City:

*Country:

Emergency Contact Information. (Name, Daytime phone, Evening phone):

Dietary needs:-

Vegetarian food :

Other food restrictions:

*Delegate Category:-

Indian:

Foreign:

Student:

Registration fees:
Foreign Participants :	US $ 300
Indian Participants :	Rs. 3000
Indian Student :	Rs. 1500

Note: * means required field

We also accept payment by Bank transfer and the details are as follows

Bank Name and Branch: Canara Bank, Jadavpur Branch
Bank Address: 9/10/1 Raja S. C. Mullick Road, Kolkata-700 032, India
Account Name: CT2009
Bank Account No. 0980101025410
SWIFT CODE: CNRBINBBCFD

- Please make sure that all charges are met by remitter
- The name of the participant must be stated on the remittance slip
- A copy of your payment receipt may be emailed to rupakbhadra@iicb.res.in