7th Indian Peptide | Register
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Registration Form for 7 th Indian Peptide Symposium Being held on

February 28-March 01, 2019 at BITS Pilani, Hyderabad Campus, Shameerpet, Hyderabad.

Instructions to Fill up the form for Registration as a participant for 6th Indian Peptide Symposium:-

1. Fill up all the fields as instructed in the following form.

2. Registration fee can be paid through NEFT, Multi City Cheque or DD, Online Payment, Pay Cash as Spot Registration, Mention the details below.

3. Cheque or DD MUST BE MADE in favor of “INDIAN PEPTIDE SOCIETY , Payable at New Delhi.

4. Multi City Cheque/DD should be sent to: Mr. Rakesh Arora, Treasurer, Indian Peptide Society, 824/3, Second Floor, Sukhdev Nagar, Kotla Mubarakpur, New Delhi – 110 003.

5. Please enclose the print out of the form along with Multi City Cheque/DD.

6. If you need accommodation, please mention Accommodation is not committed as we have fewer accommodations. which will be booked on Payment basis on first come first serve basis for confirmed Registered Participants.

Please inform as and when the changes are made for our review and corrections if any.

7. NEFT can be made in favour of

ACCOUNT NAME: INDIAN PEPTIDE SOCIETY
ACCOUNT NO: 1914099531
BANK NAME: Kotak Mahindra Bank
BANK BRANCH: Bhishma Pitamah Marg, New Delhi, INDIA.
IFSC CODE NO: KKBK0004620
Swift: KKBKINBBCPC

8. For Foreign Payments, please mail us at indiapeptidesociety@gmail.com

Preferred Salutation:- Mr.Ms.Dr.Prof.

First Name:-
Last Name:-

Email:-
Designaion:-

Nationallity:- IndianOther
Gender:- MaleFemale

Date Of Birth:-
Mobile No.:-

City:-
State:-

Do you belong to any of the following category :-

Name of Institute University Company:-

Correspondence Address.

Please Choose One Of the following category for registration fee:-.

"Spot Registration will be costlier by Rs. 250/- for Students; Rs. 500/- for Academic and Rs 1000/- for Corporate Delegate (Applicable for both IPS and Non IPS members)"

Mode of Payment:- Cheque/DDBank Transfer

If payment made by cheque DD please give the details:-

If you need Accommodation:-

SpecialRemarks:-

Instructions to Fill up the form for Registration as a participant for 6th Indian Peptide Symposium:-

1. Fill up all the fields as instructed in the following form.

2. Registration fee can be paid through NEFT, Multi City Cheque or DD, Online Payment, Pay Cash as Spot Registration, Mention the details below.

3. Cheque or DD MUST BE MADE in favor of “INDIAN PEPTIDE

SOCIETY

, Payable at New Delhi.

4. Multi City Cheque/DD should be sent to: Mr. Rakesh Arora, Treasurer, Indian Peptide Society, 824/3, Second Floor, Sukhdev Nagar, Kotla Mubarakpur, New Delhi – 110 003.

5. Please enclose the print out of the form along with Multi City Cheque/DD.

6. If you need accommodation, please mention
Accommodation is not committed as we have fewer accommodations. which will be booked on Payment basis on first come first serve basis for confirmed Registered Participants.

Please inform as and when the changes are made for our review and corrections if any.

7. NEFT can be made in

favour of

ACCOUNT NAME: INDIAN PEPTIDE SOCIETY
ACCOUNT NO: 1484101028161
BANK NAME: Canara Bank
BANK BRANCH: Jit Singh Marg, New Delhi-110067
IFSC CODE NO: CNRBOOO1484
8. For Foreign Payments, please mail us at indiapeptidesociety@gmail.com