ICISCM-2012
(March 24-25, 2012)
Name Designation...Department ................................. Institution /Organization.. Title of the paper Address State Country . Pin. Telephone: Office .... Resi. ...Mobile ...E-Mail . Please tick, whichever is applicable
Presenting Paper
Registration Fee Participants from Corporate Academics and R&D institutes Students and Research Scholars Foreign Delegates
Conference Participation
Early Birds Up to 17th Feb
Up to 28th Feb,2012
Payment Details : Amount Rs. ________ Draft No. __________ Dated ________ Issuing Bank __________ All drafts should be in favor of OM Institute of Technology & Management, Hisar payable at Hisar.
Date : ___________
Note: This form can be photocopied for the use of other willing participants or can also be downloaded from the institute website.