Speaker
Registration Form
(Please print and write in CAPITAL letters ) |
7th Annual Greentech
Fire, Safety & Security India Conference 2008
9th -11th April 2008, Mubai (India) |
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| To
Submit take Printout of Speaker
Registration Form .
Fillup The Details and Send by fax or E-mail
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Mail to:
Greentech Foundation
811, Vishwadeep Tower,
Distt. Centre, Janakpuri,
New Delhi - 110058 India |
Key
Dates :
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Submission
of Abstracts : 10th
March 2008
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Submission
of Full Paper
: 10th March 2008
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Nomination
of Delegates :
10th
March 2008
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I am interested in participation
in the conference as Speaker to make presentation on the
topic : ____________________________________________________________________ |
| My Particulars ara under
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Name
: Mr./Mrs./Ms/Prof./Er.______________________________________
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Country Code
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Area Code
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Number
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| Phone (Office) |
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| Resi. : |
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| Fax : |
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| Mobile : |
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| E-mail : |
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| I am attaching herewith the following
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- Abstract of my paper in upto 300 words.
- My brief profile.
- 2 copies of my photo size 35 mm x 35 mm.
- Delegate Registration Fee By way of Demand
Draft No._____dated______drawn on (Bank)
_____________in favour of Greentech Foundation, payble in New Delhi
(India).
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| I understand that my participation
as Speaker is subject to acceptance of the Abstract, Full paper and availability
of time slot in conference sessions. If my paper is not selected or cannot
be accommodated, I agree to participate as 'Delegate' in the conference. |
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| Date : ____________ |
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Signature with official
seal_________________________ |
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| _____________________________________________________________________________________ |
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| Nomination approved
by : |
| Name_________________________________________________ |
Designation_____________________ |
| Organization___________________________________________________________________________ |
| Address______________________________________________________________________________ |
| _____________________________________________________________________________________ |
| Telephone(O)________________________________________Fax_______________________________ |
| E-mail_____________________________________________Website____________________________ |
| Phone______________________________Fax__________________________Mobile:_______________ |
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Date : _______________ Company
Seal _____________________ Signature ______________________
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Send to : Greentech Foundation
811, Vishwadeep Tower, Distt. Centre, Janakpuri, New Delhi -
110058 (India)
Fax : 91-11- 41588564, 25612025 E-mail : mail@greentech.org |
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