NILS Seminar 2019: Loyola, NCRM & SIT

SEMINAR REGISTRATION FORM

Only for Students and Faculty from Institutes within the Loyola College Campus. Others, please see instruction below form#.

* Prefix :

* First Name :

* Last Name :

* Date of Birth (dd/mm/yyyy): :

*Age :

* Sex : Male Female

* Residential Address :

* City :

State :

* Zipcode:

Landline Number:

* Mobile Number:

*Email:

* Category:
(Please choose one of the option which ever suits you the best)

* Name of the Institution:

If others please specify:

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Student

Course of Study:

Department:

Year of Study

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Faculty

Designation:

Department:

YES, I am a student/faculty from an Institute within the Loyola College Campus. I have received a communication of invitation based on which the above registration is submitted.

I understand that I have to present my Institute Identity card at the registration desk on the day of the event.

Fields marked with * are mandatory

After successful completion of the Registration Process, you will receive a confirmation email with information on the registration formalities/event guidelines to be followed. If not kindly contact us at webmaster.ncrm@nichimail.jp

# Those who are not either student or faculty from Institutes within Loyola College Campus and wish to attend the seminar must kindly send an email with their name, mobile number and Institute affiliation details to webmaster.ncrm@nichimail.jp. Upon receiving the email expressing interest we will revert to you subject to your participation being approved by the organizers.