Brochure - Lingaya's University

Department of Mathematics
LINGAYA’S UNIVERSITY
Nachauli, Old Faridabad – Jasana Road
Faridabad 121 002, Haryana
National Conference
on
Application of Mathematics
To
Science & Technology
12 – 13, May 2010
REGISTRATION FORM
(a Xerox copy of this form may also be used)
1. Name (in Block) ……………....…….……………….
2. Designation……….……………………….………….
3. Organization…………………..……………………...
(With Address)……………………..……………............
4. Mailing Address ……………………………………
…………………………………………………………
…………………………………………………………
Ph……………………….….Fax………………………
Email…………………………..Mob……………………
5. Accommodation required □ Yes □ No
6. Registration Details
D.D. No……………………….Date…………………….
Amount…………………Bank……………...…………
(Bank draft is to be made in favour of “Lingaya’s University” Payable at Faridabad)
Signature of
Sponsoring Authority
Date :
Place :
Signature of Applicant