57th ANNUAL CONFERENCE OF THE ASSOCIATION OF

SCHOOLS FOR THE INDIAN SCHOOL CERTIFICATE

26th28th NOVEMBER, 2014
Ocean Pearl Retreat, Chattarpur, New Delhi.
CONFERENCE REGISTRATION FORM

FOR MEMBERS ONLY

PRINCIPAL

VICE PRINCIPAL

HM

Full Name:.........................................................................................................................................
Designation:.......................................................................................................................................
Name of the School:..........................................................................................................................
Address:............................................................................................................................................
..........................................................................................................................................................
..........................................................................................................................................................
Phone No. : ................................... Mobile:............................... Fax No.:........................................
Email:................................................................................................................................................
Website:............................................................................................................................................
Food preference:

Vegetarian

Non Vegetarian

Whether require travel to venue

Yes

No

Any special requirement (Specify in detail).......................................................................................

..........................................................................................................................................................
Please note:

Principal/ Vice Principal/ HM of the member school need not pay the
Conference Registration Fee.
Registration deadline: 30th August 2014.
Kindly enclose an additional 'Passport size photograph' for ID Card.

Delegate's Signature & Date:............................................................................................................

FOR OFFICE USE ONLY
Receipt No.: ................................... Date:............................... Visitor's No. ....................................................
Please mail this form along with a passport size photograph to the address given below:
Dr. G. Immanuel, Principal
Seventh-Day Adventist Higher Secondary School,
132 Ft. Ring Road, Haripura, Maninagar (East), Ahmedabad 380008.
e-mail : sdahss@gmail.com, mob : 07802947276, 09099911147 ,Tel. No. 079- 25861452 / 25861453

57th ANNUAL CONFERENCE OF THE ASSOCIATION OF

SCHOOLS FOR THE INDIAN SCHOOL CERTIFICATE
26th28th NOVEMBER, 2014
Ocean Pearl Retreat, Chattarpur, New Delhi.
CONFERENCE REGISTRATION FORM

FOR VISITORS
VISITORS ONLY
FOR
ONLY

Full Name: ..........................................................................................................................................................

Designation: ........................................................................................................................................................
Name of the School: ..................................................... Code No :
Address: ..............................................................................................................................................................
.............................................................................................................................................................................
.............................................................................................................................................................................
Phone No.: ...........................................Mobile: .............................. Fax No. ....................................................
Email: .................................................................................................................................................................
Website:...............................................................................................................................................................
Food preference:

Vegetarian

Non Vegetarian

Whether require travel to venue

Yes

No

Any special requirement (Specify in detail) .......................................................................................................

Conference Registration Fee (For non members) Rs. 2000/- (Rupees Two Thousand only)
Payment details: By Demand Draft in favour of 'Secretary / Treasurer ASISC' payable at
Ahmedabad.
Demand Draft No. : ..............................................................

Date:..............................................

Signature & Date: ...............................................................................................................................................

NB: Registration deadline : 30th August 2014.
Kindly enclose an additional 'Passport size photograph' for ID Card.
FOR OFFICE USE ONLY
Receipt No.: ......................................... Date:.................................... Visitor's No. ..........................................
.
Please mail this form along with a passport size photograph to the address given below:
Dr. G. Immanuel, Principal
Seventh-Day Adventist Higher Secondary School,
132 Ft. Ring Road, Haripura, Maninagar (East), Ahmedabad 380008.
e-mail : sdahss@gmail.com, mob : 07802947276, 09099911147 ,Tel. No. 079- 25861452 / 25861453

57th ANNUAL CONFERENCE OF THE ASSOCIATION OF

SCHOOLS FOR THE INDIAN SCHOOL CERTIFICATE
26th28th NOVEMBER, 2014
Ocean Pearl Retreat, Chattarpur, New Delhi.
TRAVEL AND ACCOMMODATION: BOOKING REQUEST FORM

Delegate I

Delegate II

Dr. G. Immanuel, Principal

Seventh-Day Adventist Higher Secondary School,
132 Ft. Ring Road, Haripura, Maninagar (East), Ahmedabad 380008.
e-mail : sdahss@gmail.com, mob : 07802947276, 09099911147 ,Tel. No. 079- 25861452 / 25861453