1st INTERNATIONAL CONFERENCE ON NANOSCIENCE AND NANOTECHNOLOGY (ICNAN’16) October 19-21, 2016 Center for Nanotechnology Research, VIT University, Vellore, Tamil Nadu 632014, India – REGISTRATION FORM Personal Information Name (CAPITAL LETTER) : Designation : Institution / Organization : Address for Communication : E-mail : Contact No. : Accommodation required : YES / NO (Specify the dates) : From To …………………… …………………. No. of Days : 1 / 2 / 3 / 4 Dormitory Accommodation Rs. 275/- per day. Note: The available in Boys and Girls Hostel based on Please include the accommodation fees also in registration Demand Draft (If required). Payment details Amount : DD No. & Date : Name of the Bank : Demand Draft Note: The Registration and Accommodation fees to be paid through only in favor of ‘VIT University Vellore’, payable at Vellore. Food Preference : Veg / Non-Veg Presenting : Yes / No (Signature of the Participant) Please send the registration form with DD to the following address: Director i/c & Chair Person ICNAN 2016, Center for Nanotechnology Research, Technology Tower -101, VIT UNIVERSITY, VELLORE -632014.
1st INTERNATIONAL CONFERENCE ON NANOSCIENCE AND NANOTECHNOLOGY (ICNAN’16) October 19-21, 2016 Center for Nanotechnology Research, VIT University, Vellore, Tamil Nadu – 632014, India REGISTRATION FORM Personal Information Name (CAPITAL LETTER) : Designation : Institution / Organization : Address for Communication : E-mail : Contact No. : Accommodation required : YES / NO (Specify the dates) : From …………………… To …………………. No. of Days : 1 / 2 / 3 / 4 Note: The Dormitory Accommodation available in Boys and Girls Hostel based on Rs. 275/- per day. Please include the accommodation fees also in registration Demand Draft (If required). Payment details Amount : DD No. & Date : Name of the Bank : Note: The Registration and Accommodation fees to be paid through Demand Draft only in favor of ‘VIT University Vellore’, payable at Vellore. Food Preference : Veg / Non-Veg Presenting : Yes / No (Signature of the Participant) Please send the registration form with DD to the following address: Director i/c & Chair Person ICNAN 2016, Center for Nanotechnology Research, Technology Tower -101, VIT UNIVERSITY, VELLORE -632014.
Registration%20form%20for%20offline(1).docx