Download Registration Form - Indian Statistical Institute

Winter School on “Research Methods in Biology”
Organized by
Biological Anthropology Unit, Indian Statistical Institute, Kolkata
Date and Venue:
16-23 January, 2017, Indian Statistical Institute, Kolkata
Registration Form
Name: (Prof./Dr./Mr./Ms):
Present position/Designation:
Affiliation:
Gender: Male/ Female
Complete Mailing Address with Pin Code:
E-mail id:
Mobile No:
Academic background:
Registration Details: Cash/ Demand Draft, Total amount paid: Rs.__________________
Demand Draft should be drawn in favour of Indian Statistical Institute, payable at Kolkata
and to be sent to Dr. Baidyanath Pal, Biological Anthropology Unit, Indian Statistical
Institute, 203 B.T. Road, Kolkata 700108.
DD No: ______________________ Bank Name: __________________________
Place:________________________Date:_________________________________
Justify your participation in the winter school (100 wards):
Signature