Pre-registration Form

Note:

Surname, First Name:

Affiliation and postal address:

I would like to make an oral presentation/display a poster paper

Title:

Email:

Tel: (Office)

Tel: (Home)

Fax N°:

Kindly send the completed form by e-mail or by post to:

Dr Mohsin U Khan
Coordinator, Steering Committee
Nistads
Pusa Gate, K S Krishnan Marg
New Delhi 110 012
India
mohsinuk@yahoo.com