REGISTRATION FORM

International Conference
On
Teaching English for Employability
21-22 November, 2013

(To be sent to Dr.A.Joycilin Shermila, Conference Secretary, Annammal College of Education for Women, Tiruchendhur Road, Thoothukudi - 628003)

Name    : Mr/Ms/Dr/Prof.                    ………………………………………………………
 Designation & Institution:                  ………………………………………………………
                                                           
                                                            ………………………………………………………
                       
Mailing Address:                                ……………………………………………………..

                                                            ………………………………………………………

                                                            ………………………………………………………
 PIN                                                                                                                         

Tel. No. :                                             ………………………………………………………

Email:                                                  ………………………………………………………

Paper Presentation                                          : Yes/No
 If yes, title of the presentation:           ………………………………………………………

……………………………… …………………………………………….

Whether Required Multimedia Projector : Yes/No

 Registration fee Details:         DD No. ………………………………………….
                                                (To be drawn in favour of The Principal, Annammal College of Education, Thoothukudi - 628003)
                                
 Whether Accommodation required:     Yes/No

Details of DD :           No. ………………………….. Amt: ……………..
                                    (To be drawn in favour of The Principal, Annammal College of Education, Thoothukudi - 628003)

Signature with date:    ………………………………………………………


Please send separate DD for registration and accommodation and at the back of the DD mention that clearly.  

Comments

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