3 NATIONAL LAW UNIVERSITY ODISHA

INTERNATIONAL MARITIME ARBITRATION MOOT

1 3 April, 2016
RD

REGISTRATION FORM

NAME OF THE INSTITUTION:

ADDRESS:

E-MAIL ADDRESS:
CONTACT NUMBER:
TEAM DETAILS:
SPEAKER 1:
NAME:
GENDER: (M) (F)
E-MAIL ADDRESS:
CONTACT NUMBER:

SPEAKER 2:
NAME:
GENDER: (M) (F)
E-MAIL ADDRESS:
CONTACT NUMBER:

RESEARCHER:
NAME:
GENDER: (M) (F)
E-MAIL ADDRESS:
CONTACT NUMBER:

SIGNATURE OF THE HEAD OF INSTITUTION

SEAL OF THE INSTITUTION

3rd NLUO IMAM, 2016