Registration

8th INTERNATIONAL CONFERENCE ON QUASICRYSTALS

Delegate Registration

	Overseas
	India
	Students
	Organisation

Name and Address of Delegate
Title: Mr Ms Dr Prof

First Name:
Last Name:
Institution:
Address:
City:
Country:
Pin:
Phone:
Fax:
Email:

Overseas Delegates Information

Nationality (Self):
Passport Number (Self):
Nationality of Accompanying Spouse:
Passport Number of Accompanying Spouse:
Accompanied by Spouse?	Yes No

Travel Plan

Arrival at Bangalore:

Likely date of arrival:
Arriving From:
Mode of Travel:	Air Rail

Departure From Bangalore:

Likely Date of Departure:
Departure To:
Departure Time:
Mode of Travel:	Air Rail
Need assistance for travel arrangements?	Yes No

Accommodation Preference

Accommodation at the Convention Hotel: Hotel Ashok
$80 US for single Room and $90 US for Double Room Per Day
Accommodation at Non-Convention Hotel:
Hotel Name:
Price Range:
Rs. 1000-2000 /-
Rs. 500-1000 /-
Private Accommodation:
Please indicate contact address at Bangalore

Name:

Address1:

Address2:

Phone:

Fax:

Email:

Post-Conference Tourist Package
Would you be interested in taking Organised Package Holiday Pre and Post Conference Tours?
Yes No
Preferred Destinations:

	MYSORE
	HAMPI
	BELUR
	HALEBEEDU

Any other preference?