Registration Form

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Sep 12, 2015 - Integrated Marketing Approach ... Contact No: … ... filled in registration form and snap shot of the mode of payment by email and keep the hard.
NATIONAL SEMINAR On Sustainable Competitive Advantage through Integrated Marketing Approach 12th September, 2015 Registration cum Copyright Transfer Form 1. Name Mr./Ms./Mrs./Dr. ………………………………………..……………….…………… 2. Designation: ………………………………… 3. Institute: …………………………………………………………………… 4. Contact No: ………………………………………………………..… 5. Email: ……………….…………………… 6. Please mention: Attending with paper (Yes/No) ………………………………... 7. If Yes, title of the paper: ……………………………………………………………..………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………….. 7. Registration Fee paid: Amount paid: Rs. ………………………… (Please √ appropriate) o Cash o DD no: ………………….………… Date: …………………… Bank & Branch Name: …………………………………………………. o Bank Transfer: ………………………….…… Transaction ID: ….……………………………. Date…………………………………… 9. Travel details: o Arrival Date: ………………. Time: …………….… o Train no. and Name: ……………………………………………

o Departure Date: …………. Time: ……………….……… o Train no. and Name: ………………………………………….

Declaration I hereby declare that all the details given above are true and correct to the best of my knowledge in the event of any information being found false or incorrect my registration would stand cancelled without any further notice. Place: Date:

(Signature of the Participant) Copyright Transfer

1. I understand the plagiarism related issues and will be responsible if any plagiarism is found in our research paper. 2. I cede all the rights to the editors of conference proceeding for my paper. 3. The paper has not been published in the same form elsewhere. 4. It is not submitted anywhere else for publication prior to acceptance/rejection by PIMG. 5. Copyright permissions has been obtained for reproduction of material published elsewhere.

(Signature and Name of Participant) Sent the duly filled in registration form and snap shot of the mode of payment by email and keep the hard copy for further reference and submission. [Note: Feel free to use photocopies of this form]