Registration Fees:

Payment should be made in the form of crossed Demand Draft or Cheque of a Nationalised Bank drawn in favour of Principal, V.P.M’s Joshi-Bedekar College , Thane, payable at Thane, or in Cash.  Payments can also be made online from the VPM Web-site.

 Category  Dates Indian  International
Delegate Registration & Fees*   Early Bird (Up to 31st July 2009) INR  3500.00  US $250.00
Up to 31st December 2009 INR 4500.00 US $350.00
1st January - 10th January 2010 INR 5500.00 US $450.00
11th January onwards and Spot INR 6500.00 US $500.00
Student Delegate** Early Bird (Up to 31st July 2009) INR  550.00  US $100.00
Up to 31st December 2009 INR 1000.00 US $150.00
1st January - 10th January 2010 INR 1500.00 US $200.00
11th January onwards and Spot INR 2000.00 US $250.00
Patron Registration***

 

 Early Bird (Up to 31st July 2009) INR  5000.00  US $350.00
Up to 31st December 2009 INR 7500.00 US $450.00
1st January - 10th January 2010 INR 9000.00 US $550.00
11th January onwards and Spot INR 12000.00 US $650.00
 * Delegate Registration & Fees entitles you to all seminar material, entry, complimentary breakfast, lunch and dinner during the course of the seminar, as well as attendance to the 2 Pre Conference Workshops on 21st August 2009 and 27th Nov 2009 .

**Student Delegate entitles you to all seminar material, entry, complimentary breakfast, lunch and dinner during the course of the seminar, as well as attendance to the 2 Pre Conference Workshops on 21st August 2009 and 27th Nov 2009. A certificate from the Institute where the student is studying is essential to avail of this offer. 

***Patron Registration entitles you to 2 complimentary registrations with all conference delegate facilities.  

 
   
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 Registration Form

VIDYA PRASARAK MANDAL’S

K. G. JOSHI COLLEGE OF ARTS &

N. G. BEDEKAR COLLEGE OF COMMERCE, THANE

In association with

Mens Sana Monographs

Two Day International Seminar On

Mind, Brain and Consciousness

14 th & 15 th January, 2010

 

Name : _______________________________________________

Designation:_______________________ Age :____________

Sex : Male Female

Organisation/College:_______________________________________

Address :________________________________________________

_______________________________________________________

Phone No.:_________________ E-mail: _______________________

Registration as Delegate Student Delegate Patron
Senior Citizen (65yrs) / Child below 10 yrs.

Do you require hotel booking? Yes No (If yes, go online to book) Names of Accompanying persons _______________________________

Enclosed Cash / DD / Cheque No./Online: ______________________

Dated __________________ of Rs. __________________________

(Drawn in favour of Principal, V.P.M’s Joshi-Bedekar College, Seminar A/c, Thane, Payable at Thane, Maharashtra, India)

Date:________________________ Signature ___________________

(For additional copies please photocopy this form)
_______________________________________________________

For Office Use Only

Sr. No. __________________ Receipt No: ____________________

Date:________________________ Amount____________________

In charge, Delegate Registration