Name:

Address:

Mobile:

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IAP Membership No.:

Payment Details :
Faculty (5000)
IAP Member (6000)
IAP Member (6000) + Workshop (1000)
Non IAp Member (7000)
Non IAp Member (7000) + Workshop (1000)
PGTs/PDTs (4000)
PGTs/PDTs (4000) + Workshop (1000)
Accompanying (7000)