CHURCH HISTORY ASSOCIATION OF INDIA 15th TRIENNIAL CONFERENCE AND PLATINUM JUBILEE CELEBRATIONS “INDIAN CHRISTIAN HISTORICAL AND

CULTURAL STUDIES: YESTERDAY, TODAY, TOMORROW” 6TH – 9TH OCTOBER, 2011 – JEEVAN JYOTHI, BEGUMBET, HYDERABAD-500016 REGISTRATION FORM Name : Address : Ph. No. : Email ID: Name of the Church/Seminary/ Organization and position : Presenting a paper ? : If so theme : Do you require a DVD projector, OHP, Board or such for the Presentation? Specify : Description of Exhibition Material you are displaying and Table requirement if any : Registration Fee Details : Name of the Bank and DD No. (A DD for Rs.300/- Payable at Hyderabad in favour of ‘pJyothi’ per delegate needs to be sent) Arrival Schedule Departure Schedule Place ::________________ Date ::________________ ____ :: Signature:___________ : : : : : : : :

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-----------------------------------------------------------------------------------------------------The filled in form should be sent to the CHAI Conference & Celebrations Secretar iat, Samanvay, Deepthi Chambers, Vijayapuri, Hyderabad-500017, A.P., as early as possible and to reach us not later than 15th Sept. 2011. Kindly forward to all CHAI members and other interested scholars of your branch, unit, organization, institution. With warm regards- Prof. George Menachery, Gen Sec CHAI 09846033713, kunjethy@gmail.com p.s. for other details pl.cf.www.chai-o nline.net. Otherwise you may also look at www.indianchristianity.com

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