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1 st INTER NATIONAL MOOT COURT COMPETITION, 2017 ANSAL UNIVERSITY, SCHOOL OF LAW, GURGAON
R EGISTRATION F ORM
(TO BE FILLED IN BLOCK LETTERS)
Date: ____________
Name of the Institution: ___________________________________________________________________
Address:________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Person to be communicated regarding the competition:
Name: ____________________________________________________
Designation: _______________________________________________
Phone Number: _____________________________________________
E-Mail Address: ____________________________________________
1
TEAM DETAILS
1. Speaker 1:
Name: ____________________________________________________
Gender: __________________
Phone number: _______________________
E-Mail Address: ____________________________________________
2. Speaker 2:
Name: ____________________________________________________
Gender: ____________________
Phone number: _______________________
E-Mail Address: _____________________________________________
3. Researcher:
Name: ____________________________________________________
Gender: ____________________
Phone number: _______________________
E-Mail Address: __________________________________________
4. Demand draft* DD Number: ____________________________________ Issuing Bank: ___________________________________ Issuing Date: ____________________________________
*NOTE: GET A DEMAND DRAFT OF Rs. 3000, IN FAVOUR OF “ANSAL UNIVERSITY” AND SEND IT ALONG WITH THE ABOVE FORM.
Affix RecentPhotograph
Affix RecentPhotograph
Affix RecentPhotograph
Seal of the Institution
(SELF ATTESTED PHOTOGRAPH)
(SELF ATTESTED PHOTOGRAPH)
(SELF ATTESTED PHOTOGRAPH)