Registration Form

DEPARTMENT OF STATISTICS

SARDAR PATEL UNIVERSITY

VALLABH VIDYANAGAR

February 20-26, 2006

Name ______________________________________________________

Designation _________________________________________________

Department _________________________________________________

Organization ________________________________________________

Address ____________________________________________________

City______________________________________PIN ______________

Telephone (O) ___________

(R) ___________

E-mail ________________

Accommodation required Yes/No

Expected Arrival Time & Date

___________________________________________________________

Registration Fee Sent Yes/No

Registration Fee: Rs. 600/-

For Industry sponsored: Rs. 1000/-

Fee includes modest accommodation, workshop material,

tea breaks, lunch and dinner.

For any queries please contact.

Ashok Shanubhogue, Head of the Department

a_shanubhogue@yahoo.com

Ph. (O) 02692-226871, (M) 09879535433

Jyoti Divecha, Reader

jrajarajan@yahoo.com

Ph. (M) 09879691337

Registration forms are available in HTML format.

You may download the form and send it to above e-mail address.