Last Date of Abstract Submission : 14th February 2011
Last Date for Registration :
               14th February 2011
Limited Participants only
Please send the details below by email to fimb2011@iiserkol.ac.in , Sub: Registration
REGISTRATION DETAILS FOR FIMB 2011
NAME (Last Name, First Name) - Age- Male / Female- Full work address (institute/university, faculty/dept., street address, town/city, country): TELEPHONE No: Email Address: PRESENT POSITION: ACADEMIC QUALIFICATIONS (M.Sc onwards):
Abstract Submitted- Yes/No
If yes, Title of the Abstract-
Details of Registration fee Payment - If Demand Draft:
DD No : Date and Amount: Issuing bank:
If Online transfer
Transaction No- Date of Transaction- Amount- Bank Name- Branch address-
Mode of Payment of Registration fee:
Demand Draft In favour of :
FIMB- 2011 Payable:
Kolkata
OR
Online Bank transfer Account Name-
FIMB 2011 Account No-
089302000002306
IFS code- IOBA0000893 Branch-
Indian Overseas Bank, Salt lake city Address- Block EA, opposite Labony estate, Sector1, Kolkata 700064