Registration
Registration fee includes abstract booklet and local hospitality during the workshop. Lodging charges will have to be borne by the participants depending upon the type of accommodation they avail.
Deadline for submission of registration form: 31 December, 2009
Registration Fee
All payments should be made through bank draft drawn in favor of
“International workshop on Chemical Evolution and Origin of Life” payable at Roorkee.
The amount should include the registration fee and estimated charges for
accommodation can be sent before 20 January, 2010 to:
Dr. Kamaluddin,
Convener,
International Workshop on Chemical Evolution and Origin of Life,
Department of Chemistry,
Indian Institute of Technology Roorkee,
Roorkee – 247 667,
India.
Name: _________________________________________
Designation: _____________________________________
Address for Correspondence:________________________
______________________________________________
______________________________________________
Telephone: _____________________________________
Fax: __________________________________________
E- mail: ________________________________________
Whether making Oral*/Poster presentation
______________________________________________
Title of Abstract of Paper/Poster: ____________________
______________________________________________
Expected dates: Arrival: ___________________________
Departure: ___________________________
Type of accommodation required:
Hotel / Guest House / No
Expected Tariff per night payable: ____________________
______________________________________________
* Organizing committee may suggest for poster presentation
Signature of the participant
Date:
Place:
Deadline for submitting the registration form: 31 December, 2009
