Registration Form

SPELT Abbottabad Chapter

R. No.: ____________

21-22 November 2015

PLEASE USE CAPITAL LETTERS

Please write your name below as you wish it to appear on your conference certificate

Name

NIC No.

E-mail:

Address:

Institutio
n:

Phone
(Office).:

Designation
:

Mobile.:

SPELT Membership Status

Individual Membership
Member

Institutional Membership

Life Membership

Non-

Date:
Signature:__________________

Conference Venue :
Modernage School & College, Girls Campus
Near Radio Pakistan, Jhangi, Abbottabad
Tel: (0992) 408001-2
Day, Date & Timing
Saturday 21st Nov. 2015, Time: 2 to 5 pm
Sunday 22nd Nov. 2015, Time: 8:30 am to 4:30 pm

Registration Fee
Members: Rs. 500/-

Non-Members: Rs. 600/th

Fee will be received on Registration Desk on 21 or 22

nd

Students: Rs. 400/-

November 2015

Receipt will be issued when the Hard Copy of the Form is submitted.

Registration Fee includes the following :

Conference Fee Conference Bag along with study material Name Tag
Programme Book
Certificate Access to all conference events and exhibit halls Hi Tea on Day 1
Lunch on Day 2
Registration Forms
should be emailed at : rustam_123@ymail.com or

rustamhavelian@gmail.com

should be posted to:

Prof. Muhammad Saeed Qureshi, Modernage School & College,

Jhangi, Abbottabad

Please bring along the following on conference days i.e.21-22 November 2015.
Original NIC
Student Identity Card (for students only)
Hard copy of the Registration Form
For queries, please contact us at : 03459603918; 03219803494;

03239848745