Documente Academic
Documente Profesional
Documente Cultură
REGISTRATION FORM
CEMG/2015/BIM-AECII/___________
Serial No. (For office use)
PART I GENERAL INFORMATION
Name
Designation:
Department
Organization/ University:
PEC Reg. No. (if app) :
Cell # :
News Paper
Website
SMS
Letter
Social
Other
Individual Participant 1, 2, 3
Rs.10,000/*Postgraduate student Studying at NED1, 2, 3
Rs. 7,000/*Other Postgraduate student1, 2, 3
Rs. 8,000/Faculty1, 2, 3
Rs. 5,000/*Undergraduate Student1, 2, 3
Rs. 3,000/*Students need to attach copy of university ID card in order to
PART II FEE INFORMATION
3.
4.
Note: Each Group Participant should fill Part-I (General Information) separately, while Part-II (Fee Information) may be
filled on one form only.
PAYMENT INFORMATION
Serial No.CEMG/2015/BIM-AEC-
Date :
II/___________
Name
Mode of Payment
Cash
Direct Deposit
Cheque
Pay Order
Bank Draft
No.
\
Receivers Signature
Signature
Depositors