Registration Form
Name:
Gender:
Male: Female
Affiliation:
Designation:
Mailing Address:
.
City:
Pin Code:
Phone (incl. STD code):
Mobile:
Fax:
E-Mail:
No. of Accompanying Persons:
Preference (Please indicate your choice from 1 to 5)
Category A Hotel ( Rs.1000 per person per night )
Category B Hotel ( Rs. 500 per person per night )
University Guest House (Rs. 300 per person per night)
LNMIIT Guest House (Rs. 300 per person per night)
LNMIIT student hostels (less than Rs. 150 per person per night)
Accommodation not required