Surname (as in Passport):
First Names (Given Names):
Email ID: Organization:
Age: Male: Female:
Postal Address -
Telephone (Res.) Telephone
(office)
Fax:
Passport No.: Issuing office:
Validity of Passport till:(Date)
*. Accompanying members, if any:
Do you want local transportation arranged for
you? (By train/Air or Bus / Taxi). If so, specify the connections:
(Note:Mumbai=Bombay)
*Included in the registration fee of participants from developed countries.
** Air/Train tickets at members cost.
Do you want more information? Choose from
above connections. No 1 2 3 4 5 6 7 8 9 10 11 12 13 14
Any other relevant matter you wish to specify:
Registration Fee for the Conference
Choose method of
payment
1. For
USD Please pay to
Union Bank of California International, 40 Wall Street, 23rd
Floor, New York, N.Y. 10005-1339 U.S.A. Tel. no.
212-938-8978 Fax no. 212-323-9599 Aba Routing no. 026005050,
UID no.160459 (SWIFT- BOFCUS33NYK) For Credit to A/c no 91
189316 1121 of The Saraswat Co-Operative Bank Ltd.
(SWIFT-SRCBINBBAPUN) For final credit to a/c no.22430 of
Bhaskaracharya Pratishthana with Karve Road branch, Pune, India.
2. For
EURO Please pay to
American Express Bank GMBH Theodor-Heuss-Allee 112 60036 Frankfurt
AM Main Germany (SWIFT AEIBDEFX) For Further Credit to A/c no
18072600 of the Saraswat Co-Operative Bank
Ltd. (SWIFT-SRCBINBBAPUN) For Final Credit to A/c no 22430 of
Bhaskaracharya Pratishthana with Karve Road branch, Pune, India.
3. For
USD Please pay to
Chase Manhattan Bank, 4, Chase Metrotech Centre 8th
Floor, Brooklyn NY 11245, USA For credit to the account no.
001-1-406717 of HDFC Bank Ltd., Mumbai, for the account of Vidya
Sahakari Bank Ltd. A/c# 0070380000052 with HDFC Bank Ltd., Pune
Branch For further credit to A/c# 2367 of Bhaskaracharya
Pratishthana with Laxmi Road branch, Pune, India.
4.
Demand/Bank Draft (D.D.)
Send D.D. payable to :"Bhaskaracharya Pratishthana ", to the address : Bhaskaracharya Pratishthana 56/14, Damle Path, off Law College Road, Erandavane, Pune,
411 004, India.
Choice for Participation