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CONFERENCE REGISTRATION FORM
A Registered Participant will receive the Conference kit, is entitled to attend all the Conference sessions, and
also to join the Conference speakers for the afternoon lunch, and refreshments.
For clarifications write to niasconsciousnessprogramme@gmail.com
Website: http://niasconsciousnesscentre.com/Conf-2015/a/index.html
If you would need info on lodges and hotels in the neighbourhood of NIAS for accommodation, discounted
prices, and other logistic details, do write to admin@nias.iisc.ernet.in
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Registration Fee:
For India and SAARC Countries – INR Rs.3000/For Developing Countries - USD 100/Other Countries - USD 200/For Students from India – INR Rs. 1000/For Students from Developing Countries - USD 50/For Students from Other Countries - USD 100/For Corporates – INR Rs. 5000/_______________________________________________________________
Registration for Participants from other countries
(Online Transfer Applicable Only for Foreign Participants)
Below are the details for online transfer of foreign currency funds
Beneficiary Name: National Institute of Advanced Studies
Beneficiary A/c No: 10270575077
Bank With:
State Bank of India, IISc Branch, Bengaluru, INDIA
Branch Code No:
02215
SWIFT CODE NO: SBININBB425
IFS Code:
SBIN0002215
After making the Online Transfer please send us the filled registration form with details of the online
transfer.
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Registration for Participants from India
The payment option could be by DD or Cheque payable at par.
Please send by post the DD or Cheque taken in the name of NATIONAL INSTITUTE OF ADVANCED
STUDIES, along with the completed registration form, to the address below.
_______________________________________________________________
Mr. P. Srinivasa Aithal
Head, Administration & Finance
National Institute of Advanced Studies
Indian Institute of Science campus, Bengaluru 560012
Email niasconsciousnessprogramme@gmail.com
PLEASE FILL IN THIS FORM COMPLETELY,
AND SEND BY POST TO THE ABOVE ADDRESS
ALONG WITH THE CHEQUE OR DEMAND DRAFT
* Required
Name *
Address *
Postal/Zip code *
City *
Telephone/Mobile *
Email *
Please state a few lines about your interest in this Conference *
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Are you interested in submitting a Poster abstract?
Those interested to present a Poster at the conference may send an Abstract (~500 words) and Title latest by
1 September 2015 to the Email address niasconsciousnessprogramme@gmail.com. Submissions will go
through a review process and selected presenters will be informed by 1st October 2015. And the Conference
registration fee will be waived for the selected poster presenters.
Mode of submission of Registration fee *
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by Demand Draft (for participants from India)
by Cheque (for participants from India)
by Online transfer of foreign currency
Write the details of the Cheque or Demand Draft such as Cheque/DD No, Date and Bank details.
Indian Participants to draw the Cheque/DD in favour of
NATIONAL INSTITUTE OF ADVANCED STUDIES, payable at Bengaluru.
Please write the DD/Cheque No. ; Dated; Drawn on; Bank; Branch, and Place
Write the details of FC online transfer
Participants from Other Countries may pay the Registration Fee by Online transfer as below,
or in person on arrival:
Beneficiary Name: NATIONAL INSTITUTE OF ADVANCED STUDIES
Bank Name: State Bank of India, Indian Institute of Science (IISc) Branch, Bangalore 560 012
A/C No. 10270575077;
Swift Code: SBININBB425;
Branch Code: 02215
Registration Fee Amount Paid *
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Choose category *
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Student
Teacher
Professional
Corporate
Other:
Any other info you wish to share
PLEASE FILL IN THIS FORM COMPLETELY,
AND SEND BY POST TO THE BELOW ADDRESS
ALONG WITH THE CHEQUE OR DEMAND DRAFT
Mr. P. Srinivasa Aithal
Head, Administration & Finance
National Institute of Advanced Studies
Indian Institute of Science campus, Bengaluru 560012
------------------------------------------------------------------------------------------------------------------------Any Questions, write to niasconsciousnessprogramme@gmail.com
or Call Ms V Girija, Conference Office – 080-22185025
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