The Louis M. Brown and Forrest S.

Mosten International Client

Consultation Competition (National Round)
Centre for ADR, Institute of Law, Nirma University,
SG Highway, Ahmedabad-382481, Gujarat, INDIA
(30 & 31 January, 2016)
Registration Form

NAME OF UNIVERSITY / COLLEGE: ___________________________________________

POSTAL ADDRESS: __________________________________________________________
____________________________________________________________________________
PHONE: ____________________________________________________________________
E-MAIL: ____________________________________________________________________

NAME/ E-MAIL ADDRESS OF CONTACT PERSON

NAME: _____________________________________________________________________
DESIGNATION: _____________________________________________________________
E-MAIL: ____________________________________________________________________
NAMES OF THE PARTICIPANTS
PARTICIPANT 1.__________________________________________________________(M.F)
PARTICIPANT 2.__________________________________________________________(M.F)
MOBILE:_____________________________________________________________________
EMAIL:______________________________________________________________________
NOTE: FILL THE FORM CAREFULLY. THE SAME NAMES WILL BE USED IN CERTIFICATES.

DETAILS OF REGISTRATION FEE RS.3,000/- DD NO:_____________________________,

BANK : _________________________________
(DEMAND DRAFT SHOULD BE DRAWN IN FAVOUR OF INSTITUTE OF LAW UNDER
NIRMA UNIVERSITY Payable at AHMEDABAD)

SIGNATURE & SEAL OF THE HEAD OF THE INSTITUTION.