JAIR CONFERENCE Registration Form THE JADAVPUR ASSOCIATION OF INTERNATIONAL RELATIONS (JAIR) www.jair.net.in Program and lodging information: www.jair.net.in/Conferences Full Name: _______________________________________________ (First name for badge)____________________________ University/Organization: ___________________________________________________________________________________ Preferred Mailing Address:__________________________________________________________________________________ City: ________________________________ State/Province: ______________________ Postal Code: _________________ Country: _____________________________ Telephone: (______)__________________ Fax: (______)____________________ Email: __________________________________________________________________ CONFERENCE FEES 1. Registration Fees (All fees listed in Indian Rupees and US dollars for International Participants ) Includes reception, 3 lunches, breaks, banquet, and proceedings. PLEASE CHECK APPROPRIATE REGISTRAION FEE: JAIR/ Organising Institutions Partipants from North Eastern States Nonmember Student International Participants Accomodation ( Members) Accommodation (Non Members) Accommodation (International Participants) POSTMARKED & PAID BEFORE/ON MAY 25 AFTER MAY25 Rs.1000/ Rs.600/ Rs.2000 Rs.1000/USD 200 Rs.3000/Rs.7000/USD 350/- Rs.1500/ Rs.700/ Rs.2500/ Rs.1500/- Total ____________ Please list any ADA Special Needs: ____________________________________________________________________________________________ Cancellations/Changes and Refunds: Fees for missed meals, late arrivals, and early departures will not be refunded. Fees will be refunded, less a Rs.600/USD 100 processing fee, if cancellation or change resulting in a refund is received in writing no later than June 22, 2014. After that date, fees are non-refundable. All refunds will be processed after the conference. Substitutions are allowed at no charge. PAYMENT METHOD Cheque/ Draft or Money Order must be in Indian Rupees payable to: The Jadavpur Association of International Relations Please check appropriate box: Cheque/Draft Money Order Bank Transfer Cheque/Draft No: ………………………Bank Details…………………………………………………….dated……………………………………………… Bank Transfer Details…………………………………………………………………………………………………………………………………………………… International Participants kindly write us at [email protected] for JAIR BANK ACCOUNT DETAILS to transfer the amount electronically. Full signature of the participant: Date: Please send a copy of your Photo ID Proof and Passport No, if any along with this Form. SEND THIS FORM ALONG WITH THE PAYMENT TO: DR. IMANKALYAN LAHIRI, GENERAL SECRETARY, JAIR 29, BRAHMAPUR, GOVT. COLONY, P.O.:BANSDRONI KOLKATA 700070, WEST BENGAL, INDIA
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