Word Document - 3rd National Symposium cum Workshop on ...

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ALAGAPPA UNIVERSITY

(
Accredited with “
A
” grade by NAAC
)

KARAIKUDI
-
630 003
, TAMIL NADU
, INDIA

DEPARTMENT OF BIOINFORMATICS



In Association with Schrödinger, USA


Organizing

3
rd

National

Symposium cum Workshop on
“Recent Trends in Structural Bioinformatics
and

Computer Aided Drug Design” [SBCADD’2010]

(December
20
th

-

22
nd
, 2010)

REGISTRATION FORM

(To be filled in block letters)

Name
: _
__________________________________
_________________________

Sex: ___
________Designation:
______________________________________
__
_

Title of the paper
:

_
___________________
_______________________________

__________________________________________________________________

Institutional
Affiliation with postal Address
: _
_________________________
____







__________________________
____







__________________________
____

Tele
phone: _____________________
Email: _____________________________
_


Whether accommodation requested (Please tick):

Yes / No


1. Hotel 2. University Hostel


Particulars of Fee:


Amount Rs. ______________ DD No: __________
_________________________

Date
:____________ Name of the Bank:
____________________________
______


Signature of Applicant

Head of the
department


Note:
Abstract paper has to be accompanied by duly filled in registration form and
DD.

The DD may be drawn in favour of Organizing
Secretary,

payable at Karaikudi.