February 5-7, 2011

Name:             Prof./Dr.
               Mr./Mrs./Ms/
             Designation:
           Place of work:

Preferred Postal Address:

Preferred Email Address:

Other Email Address(es):

Telephone: mobile:
                 residence:
                          work:

Title of paper:

Abstract attached: (Y / N)
Full text attached: (Y / N)

Accommodation in Guesthouse required: (Y / N)

Accommodation will be arranged on request at the Sri Aurobindo Ashram (Delhi Branch), on a twin sharing basis (shared double room).The charges for the same will be Rs.350/- per day, payable directly at the Ashram Reception, by the conference attendee. Receipts will be issued indicating the amount paid by the conference attendee, in the form of a donation made to the Ashram. The room charges cover all meals taken in the Ashram Dining Hall, only during the specified meal timings.

Specify exact dates for which accommodation is required:

Arrival Date and Time:

Departure Date and Time:

Registration fee is Rs 1000/- : To be paid in cash, on the spot, at the Sri Aurobindo Ashram (Delhi Branch), on 5^th February, 2011, between 2-4 p.m.

Please note that registration has to be completed strictly by Dec. 31 (i.e., form submissions, with accommodation requirements) - only the fee will be taken on the spot. There will be no fresh registration on the spot.

Signature:

Place:
Date: