!!!!

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Accommodat|on kequest Deta||s

keg|strat|on ID: Name:

Accompany|ng ersons, |f any: Adu|ts Ch||d (Age more than 6 yrs)
Arr|va| Date: 1|me:
DD]MM]
Departure Date: 1|me:
DD]MM]
Ind|cate the category of accommodat|on preferred (rates ment|oned are on|y |nd|cat|ve)
S.No. 1ype Cccupancy 1ar|ff
per Day
Advance
8ook|ng
Amount
8ook|ng Date
Irom 1o
No. of
days
No. of
rooms
requ|red
1 De|uxe
note|s

S|ng|e]Doub|e 2S00
to 4000
6000
2 8udget
note|s

S|ng|e]Doub|e 1S00
to 2S00
4000
3 Guest nouse Shared
Accommodat|on

S00 2S00
4 Dorm|tory type Shared
Accommodat|on for f|ve days

Inc|uded |n
keg|strat|on charges
(||m|ted upto 3000
de|egates on f|rst
come f|rst serve
bas|s)


#Accompan|ed person]s w||| be charged 1000 to 1S00 per person per day.
Accommodat|on w||| be arranged |n the note|s at Iammu or nearby p|ace on|y on rece|pt of
advance payment for a m|n|mum of two days on f|rst come f|rst serve bas|s. Deta||s can be had
from the Webs|te www.|sc2014.|n and www.[ammuun|vers|ty.|n

1h|s |s to |nform that the weather |n Iammu dur|ng the month of Iebruary |s qu|te
co|d and de|egates are adv|sed to carry suff|c|ent warm c|othes.
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LkSCNAL Ak1ICULAkS

I|rst Name Surname:

Gender: _ Ma|e _ Iema|e
Date of 8|rth:
DD]MM]
Des|gnat|on:
(DD]MM])
Aff|||ated Inst|tut|on
Address :


Ma|||ng Address:


C|ty : State: Country:

|n Code : 1e|.(w|th ISD]S1D code):

Iax : Mob||e: L-ma|| :

Nat|ona||ty : Ind|an NkI Iore|gn
assport Deta||s (Cn|y for Iore|gners)
Nat|ona||ty : assport No.

Date of Issue: |ace of Issue: Va||d|ty Date:

ISCA Membersh|p No.:
If not a Member, |ease |nd|cate by mark|ng the check box : Non-Member App||ed for Membersh|p
Category of art|c|pat|on
Inv|ted Speaker Student Counc|| Member

Awardee Sen|or Sc|ent|st (ev|dence to be subm|tted)

De|egate Cther (|ease Spec|fy)

Are you subm|tt|ng a paper : es]No (If yes, 1|ck Sect|ons where paper(s) subm|tted)
1. Agr|cu|ture & Iorestry Sc|ences
2. An|ma|, Veter|nary & I|shery Sc|ences
3. Anthropo|og|ca| and 8ehav|oura|
Sc|ences (|nc|ud|ng Archaeo|ogy,
sycho|ogy and Lducat|ona| Sc|ences
and M|||tary Sc|ences)
4. Chem|ca| Sc|ences
S. Larth System Sc|ences
6. Lng|neer|ng Sc|ences
7. Lnv|ronmenta| Sc|ences

8. Informat|on and Commun|cat|on Sc|ence &
1echno|ogy (|nc|ud|ng Computer Sc|ences)
9. Mater|a| Sc|ence

10. Mathemat|ca| Sc|ences (|nc|ud|ng Stat|st|cs)

11. Med|ca| Sc|ences (|nc|ud|ng hys|o|ogy)

12. New 8|o|ogy (|nc|ud|ng 8|ochem|stry,
8|ophys|cs & Mo|ecu|ar 8|o|ogy and 8|o-
1echno|ogy)
13. hys|ca| Sc|ences

14. |ant Sc|ences

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I|rst Name Surname:

Do you need p|ckup or drop _ es _ No

Arr|va| Date: 1|me: keturn Date: 1|me:
(DD]MM])

Deta||s of ayment Lnc|osed
keg|strat|on: ( ) Advance for Accommodat|on: ( ) 1ota| ( )

_ Demand Draft
DD No.: Dated Amount Drawn o 8ank:

_ Mu|t| C|ty account ayee Cheque
Cheque No.: Dated Amount Drawn o 8ank:

_ Money 1ransfer ] NLI1 ] k1GS
Name of 8ank: Amount

8ranch : Date :

_ Cn Arr|va|

Cther Genera| Informat|on :

Iood referred : Vegetar|an Non-Vegetar|an


Date and |ace S|gnature

rof.]Dr.]Mr.]Mr
s(