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1
TWO DAY NATIONAL SEMINAR
ON
Mission Kakatiya: A New Hope for Sustainable Rural Development in Telangana State
Organized by
Department of Social Work University Arts & Science College, (Autonomous)
Kakatiya University, Subedari, Warangal, T.S.
25th
– 26th
November, 2016
REGISTRATION FORM
Name: ________________________________________________
Designation: ________________________________________________
Affiliating Institution
and address: ________________________________________________
________________________________________________
________________________________________________
Title of the Paper: ________________________________________________
________________________________________________
________________________________________________
Contact Details: Mobile No. ________________________________________________
Email Id: ________________________________________________
Registration Fee Details: ________________________________________________
(Amount, DD No. and date
Name of the Bank and Branch) ______________________________________________
Require Accommodation 1) Yes 2) No
Accompanying person if any ________________________________________________
1) Twin Sharing Accommodation 2) Individual
Date of Arrival and Departure
(For Outstation Candidates) ___________________________________
Signature of the Delegate Send To:
Prof. T. Srinivas,
Seminar Director,
Department of Social Work,
University Arts & Science College,
Subedari, Hanamkonda, Warangal- 506001