Registration

REGISTRATION DETAILS
Full Name
Designation
Organization/University
LASA membership Number
Phone
Town/City State
Fax No. Country
Email Address
CONFERENCE FEES (Please check appropriate box.)
On or Before 30th September 2017 After 30th September 2017
LASA Member Rs. 5000/- Rs. 6000/-
Non Member (Government Organization) Rs. 5500/- Rs. 6500/-
Non Member (Corporate) Rs. 6000/- Rs. 7000/-
Student Rs. 2500/- Rs. 3500/-
Foreign Delegate Rs. 7000/- Rs. 8000/-
PRE CONFERENCE WORKSHOP (24 November 2017)
I want to attend Preconference workshop at CSIR-IGIB, Mathura Road, Delhi Yes No
On or Before 30th September 2017 After 30th September 2017
Pre conference workshop Fees Rs. 5000/- Rs. 6000/-
PAYMENT DETAILS
Number / Transaction Code Date Bank Name
Demand Draft
NEFT / RTGS
Amount:
Bank details for NEFT/RTGS transfer:
Bank: HDFC Bank Ltd Account Number: 50200025697068
MICR Code: 110240243 IFSC Code HDFC0002024
PAYMENT BENEFICIARY: Demand Drafts are to be payable to: ‘ LASA CONF 2017 ‘
For any payment related queries please send an email to : lasadel2017@gmail.com
Or Post To Treasurer – LASA conference 2017 on the following address;
Dr. Dinesh Kanwar Yadav, Veterinary Officer, Central Laboratory Animal Resources, Near Post Office , Jawaharlal Nehru University,
New Delhi-110067, Mobile: +91 9811259724
*Note: Registration charge does not include accommodation. Participants are requested to make their own arrangement for the accommodation.