REGISTRATION FORM XXXI Indian Social Science Congress Indian ...

REGISTRATION FORM
XXXI Indian Social Science Congress
Indian Academy of Social Science
(December 27-31, 2007, SNDT Women's University, Mumbai)
People's Struggles and People's Movements for social Equity
The undersigned is interested in registering for the XXXI Indian Social Science Congress.
The category of registration for which the fee is enclosed is indicated by the tick mark below (4) :
Member-Delegate
Rs. 1000.00
Rs. 1200.00
Non-Member Delegate
Rs. 1400.00
Rs. 1600.00
Local Delegate*
Rs. 600.00
Rs. 650.00
Student Delegate
Rs. 800.00
Rs. 900.00
Foreign Delegate
$ 200.00
$ 250.00
Foreign Delegate from SAARC
Rs. 1500.00
Rs. 2000.00
Accompanying person
Rs. 600.00
Rs. 800.00
Registration Category
* Only scholars from the SNDT Women's University, Mumbai and collaborating organizations from
Mumbai will be considered as local delegates. Students of SNDT Women's University too shall be treated as
local delegates.

Check one below:
I am a Member of the Indian Academy of Social Sciences, my Membership Card Number is:
_____________
I wish to be a Member of the Indian Academy of Social Sciences, the Application Reference is:
____________
I am a Postgraduate research student and have attached the "Bonafide certificate" from the
registrar and/or a competent authority from my institution
________________________________________________________
Kindly find enclosed an account payee BANK DRAFT payable at Allahabad drawn in favor of
the Indian Academy of Social Sciences, Allahabad .
Bank Draft Number: _________________
Bank Draft Date: ________________________________________
Bank Drawn on: ______________________ Total Amount in Figures:__________________________________
Total amount in
words__________________________________________________________________________
The undersigned's full addresses and contact numbers are as given below
______________________________________________________________________________________
_________________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Phone (O): _____________________________ Phone (R): ________________________________________
Fax: __________________________________ E-mail:
_________________________________________
Telex: ________________________________ Telegram: ________________________________________
Full name in CAPITALS Signature & date Inst. & place
REGISTERED AD addressed to:
Dr. N.P. Chaubey, General Secretary
Indian Academy of Social Sciences
Iswar Saran Ashram Campus, Allahabad 211004
Tel: (R) 0532-2544170 (O) 0532-2544245 Fax: 0532-2544170
E-mail: issa@sancharnet.in ; issaald@gmail.com Website:www.issaindia.org
FOR OFFICE USE ONLY
Received the Registration Fee for the XXXI Indian Social Science Congress as per the details above and
issued the receipt.
____________________________________________________________________
Receipt Number: _________________________Receipt Date: _______________________________
Total Amount in Figures: Rs._____________________________________________________________
Total Amount in words: _________________________________________________________________
Entry in the register on page_________________________ of serial number _____________________
Treasurer
Accountant