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       DELEGATE:
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            First Name : * Last Name : *
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            Date of Birth : (dd/mm/yyyy) *
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ACCOMPANYING PERSON(S):Prof/Dr./Mr./Ms. (only spouse or children)
1. Title    Last Name First Name
2. Title    Last Name First Name
PASSPORT DETAILS(Only for foreign delegates) :
     Name (As in Passport)   Passport No.        Date of Issue         Valid till date       Place of Issue         Nationality
          1                              
          2                          
          3                           
ARRIVAL/DEPARTURE FLIGHT DETAILS:
Arrival date:                 Time:          Flight No.:         From City:   
Departure Date:          Time:           Flight No.:       To City:          
REGISTRATION FEE :
ISRM members Non-members Students Accompanying persons
Delegate/Authors from India Rs. 8,000 Rs. 10,000 Rs. 5,000 Rs. 4,000
Delegate/Authors from other countries US $600 US $750 US $300 US $250
Pre Symposium Workshops/Courses:
 
*Registration Fee
No. Name of Workshop/Course Delegates form India Delegates from Other Countries
W-1 Workshop on "Use of TBM/Road Header in Underground Works-Issues and Challanges" Rs. 10,000.00 USD 300.00
W-2 Short Course on "Carbon Sequestration in Sedimentary Basins" Rs. 5000.00 USD 150.00
W-3 Workshop on "Rock Mechanics Methods and Tools for Mining Applications" Rs. 5000.00 USD 150.00
* 10% Discount for Members of CBIP & ISRM
Please tick the appropriate boxes below:
Workshop on "Use of TBM/Road Header in underground Works-Issues and Challenges
Short Course on "Carbon Sequestration in Sedimentary basins"
Workshop on "Rock Mechanics Methods and Tools for Mining Applications"
Whether Member of CBIP/ISRM/Student
No. of accompanying persons
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