Registration Form
1. Name :
2. Organisation:
3. Address:
4. Email:
5. Signature: ( and Guide's signature for students)
8. Payment details:
9. Receipt to be drawn in favour of:
Please mail or fax the completed Registration form to
:
Dr. Sunil S. Bhagwat, Chemical Engineering Division
Institute of Chemical Technology, University of Mumbai
(UICT) Matunga, Mumbai 400 019 .Fax 91 - 22 - 2414 5614