DELEGATE REGISTRATION FORM National Marketing Conference 2015 MARKETING IN A CHANGING & CONNECTED WORLD March 20, 2015 University School of Management Studies Guru Gobind Singh Indraprastha University Sector 16 C, Dwarka, New Delhi 110075 Name of Participant: ................................................................................................. Type of Participant: Industry Faculty Doctoral Student Student Others (Pl. Specify) ........................................ Designation: ............................................................................................................. Organisation/Institution Name: ............................................................................... Organisation/Institution Address: ............................................................................. .................................................................................................................................. .................................................................................................................................. Landline.............................................. Mobile: ........................................................ E-mail: ..................................................................................................................... Payment Details: DD No. .......................... Date:................. Amount:..................... Drawn on (Bank Name & Place):.............................................................................. Note: Registration Fee is payable by Demand Draft in favour of 'Registrar, Guru Gobind Singh Indraprastha University' payable at Delhi. Please write your name and mobile number at the back of the DD. Please send this form duly filled along with the DD to: Dr. Meenakshi Handa Conference Coordinator, National Marketing Conference 2015, University School of Management Studies, 'D Block' Guru Gobind Singh Indraprastha University, Sector 16 C, Dwarka, New Delhi 110075 Conference Email: [email protected] Alternative Email: [email protected] Phone: 25302612 (O) 9891125558 (M) (In case of more delegates, Registration Form can be photocopied.)