INTERNATIONAL SEMINAR ON SCIENCE AND SPIRITUALITY IN
YOGA, CONSCIOUSNESS STUDIES, AND INDIAN PSYCHOLOGY

 

January 27-29, 2007

Registration Form
Please submit before November 30:

Dr. Suneet Varma
Reader, Department of Psychology
Arts Faculty Extn. Building, University of Delhi
Delhi –110007

or by
email to: vsuneet@gmail.com

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)

Single room at extra cost (if available): (Y / N)
I
would like to share room with:

 

Conference fee:

Participants from India: Total Rs. ...
(
Students Rs.400; others Rs.800)
(
Extra for single room Rs.1000)

Participants from abroad: Total $ ...
(students $50; others $100)
(Extra for single room $50)

DD/Ch. no.:
date:
Bank:
- Participants from India are requested to send the amount per Demand Draft.
-
Participants from abroad can send a cheque.
-
The DD / cheque should be in favour of Head, Department of Psychology, payable at Delhi
- Please write your name on the back.

Signature:
Place:
Date: