Indian Institute of Technology Kharagpur Form for Clearance of Ministry of Human Resource Development, Government of India for visiting of Foreign National to Indian Institute ofTechnology, Kharagpur, India Name Father's Name Nationality Date of birth Place of birth Number, Date & Place of Issue of Passport Current residential address Permanent residential address Profession Place of Employment Academic Credentials Signature Contact information: Dr. Indrajit Dube [Convenor] Rajiv Gandhi School of Intellectual Property Law Indian Institute of Technology Kharagpur Kharagpur 721302, WB, India Ph. + Tele fax: +91 3222 281732; email: [email protected], [email protected](per) Design & Print: cygnus,kolkata@gmail,com,9830161350 International Conference on Convergence of Corporate Governance Norms Venue: Hyatt Regency Kolkata, India Date: zs" to za" March, 2009 NFCS -g*"iCi/i,,- Organized by Indian Institute of Technology Kharagpur and National Foundation for Corporate Governance, India
4
Embed
National to Indian Institute ofTechnology, Kharagpur, India · Foreign Nationals [Including NRI] Early Bird 350 USD; Normal Registration 450 USD Indian Corporate Early Bird: Single
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Indian Institute of Technology Kharagpur
Form for Clearance of Ministry of Human ResourceDevelopment, Government of India for visiting of ForeignNational to Indian Institute ofTechnology, Kharagpur, India
Name
Father'sName
Nationality
Date of birth
Place ofbirth
Number,Date &Place ofIssue ofPassport
Currentresidentialaddress
Permanentresidentialaddress
Profession
Place ofEmployment
AcademicCredentials
Signature
Contact information:
Dr. Indrajit Dube [Convenor]Rajiv Gandhi School of Intellectual Property Law
Indian Institute of Technology KharagpurKharagpur 721302, WB, India
Venue: Hyatt Regency Kolkata, IndiaDate: zs" to za" March, 2009
NFCS-g*"iCi/i,,- Organized by
Indian Institute of Technology Kharagpurand
National Foundation for Corporate Governance, India
Indian Institute of Technology Kharagpur
Form for Clearance of Ministry of Human ResourceDevelopment, Government of India for visiting of ForeignNational to Indian Institute ofTechnology, Kharagpur, India
Name
Father'sName
Nationality
Date of birth
Place ofbirth
Number,Date &Place ofIssue ofPassport
Currentresidentialaddress
Permanentresidentialaddress
Profession
Place ofEmployment
AcademicCredentials
Signature
Contact information:
Dr. Indrajit Dube [Convenor]Rajiv Gandhi School of Intellectual Property Law
Indian Institute of Technology KharagpurKharagpur 721302, WB, India
Venue: Hyatt Regency Kolkata, IndiaDate: zs" to za" March, 2009
NFCS-g*"iCi/i,,- Organized by
Indian Institute of Technology Kharagpurand
National Foundation for Corporate Governance, India
Indian Institute of Technology Kharagpur
Form for Clearance of Ministry of Human ResourceDevelopment, Government of India for visiting of ForeignNational to Indian Institute ofTechnology, Kharagpur, India
Name
Father'sName
Nationality
Date of birth
Place ofbirth
Number,Date &Place ofIssue ofPassport
Currentresidentialaddress
Permanentresidentialaddress
Profession
Place ofEmployment
AcademicCredentials
Signature
Contact information:
Dr. Indrajit Dube [Convenor]Rajiv Gandhi School of Intellectual Property Law
Indian Institute of Technology KharagpurKharagpur 721302, WB, India
Indian Corporate Early Bird:Single registration-Rs. 10,000/-;Multiple Registration (per Person)Rs. 8,500/-;Normal Registration:Single Registration Rs. 15,000/-;Multiple Registration (Per Person)Rs.13,5000/-
Indian Academics Early Bird:Single Registration Rs. 1500/-;Multiple Registration (Per Person)Rs.1000/-;Normal Registration:Registration-2000/-
Research Scholars(India)
Early Bird Rs. 500/-;Normal Registration-800/-
Registration Requirements
The requirement of a bank draft, for registration payment, maycause some inconvenience for international delegates. If so, pleasepay at the conference (at the time of registration) by cash. However,if this option is chosen, international delegates must still fax or mailtheir registration form in advance of the conference (indicating thatcash payment will be made). Local delegates, however, areexpected to forward cheques or bank drafts. Provision for electronicregistration, if any, will be notified in the website.
International Conference on Convergenceof Corporate Governance Norm
Kolkata, India March, 26th to zs", 2009Registration form for Paper Presenters & Conference Delegates[Foreign National's are also required to send the Foreign DelegatesForm for necessary permission from Ministry of Human Resource
Development, Govt. of India]
Attendee Information:
Name:
Name (2):
Name (3):
Name (4):
Institute/Company:
Address:
State/Province:
Country:
Main Contact:
Email:
Phone Nowith code:
Please choose the form of payment. All payments should be made infavour of CEP-STC liT KHARAGPUR. Foreign Paper Presenters\Delegates are requested to send the Cheque or Drafts in AmericanDollars (U5D). For further details, contact Convenor.
[ ] Cheque No. Dated _I ] Draft No. Dated _[ ] Bank Transfer Id/No. Dated _
Special Mention:
Signature. Date. _
Contact information:Send back the filled up form and registration fees to:Dr. Indrajit Dube [Convenor]Rajiv Gandhi School of Intellectual Property LawIndian Institute of Technology KharagpurKharagpur 721302, WB, IndiaPh. + Tele fax: +91 3222 281732;email: [email protected] , [email protected] (per)