REGISTRATION FORM
U.G.C. sponsored 2-Days National Conference on
“Re-Visiting the Fictional World of R.K. Narayan”
(February 27 & 28, 2011)
Name: Mr./Ms./Prof._______________________________________________________
Designation: ___________________________________________________________________
Institution: ___________________________________________________________________
Address: __________________________________________________________________
__________________________________________________________________
Distt.: ___________________ State: ___________________ PIN: ___________
Phone No.: _________________ Mobile: ____________________ Fax: ________________
Email: __________________________________________________________________
Participation as: Paper Presenter/Delegate/Student Delegate: _________________________
Date: __________________ Signature: ______________________
CERTIFICATE
(For Paper-Presenters Only)
I __________________________ certify that the paper titled
_____________________________________________________________________________________________________________________________________________________________________________________________________ is my original work and has not been submitted for publication/presentation anywhere else.
Date: ___________________ Signature: _______________________