International Workshop on Seismo-Electromagnetics and Atmospheric Science (IWSE-AS 2010),
16 – 18 November 2010, Agra (India)
Registration Form
(The participants are required to send completed registration form up to 28th February, 2010)
| Name | : | |
| Date of Birth | : | |
| Sex (male/female) | ||
| Nationality | : | |
| Affiliation | : | |
| Position | : | |
| Address | : | |
| TEL(including Country code) | : | |
| FAX(including Country code) | : | |
| : | ||
| Presenting a Paper | : Yes ( ) Oral ( ) Poster ( ) No ( ) | |
| Title of the paper | : | |
| Additional information, if any | : | |
| No. of accompanying person | : | |
| Excursion on 19 November | : Yes ( ) No ( ) | |
| Accommodation Required | : Yes ( ) No ( ) Budget ................................... | |
| Download | ||
Please mail to the convener :
Dr. O.P. Singh
Department of Physics,
Faculty of Engineering and Technology,
R.B.S.College, Bichpuri, Agra-283105, India
Tel: (+91) 562-2636675 (O) , (+91) 562-2636528(R)
Tel/FAX:(+91) 562-2636718
Mobile:(+91) 9412589080
e-mail : opsasd@gmail.com
: opsagra2003@yahoo.co.in