1st TNNLS NATIONAL MOOT COURT COMPETITION- 2017

TAMIL NADU NATIONAL LAW SCHOOL,

TIRUCHIRAPPALLI - 620009
th th
(24 -26 March, 2017)

Registration Form

Name of the Institution : ___________________________________________

Address : ___________________________________________
___________________________________________
___________________________________________
City : ___________________________
State : _______________________
Pin Code : ___________________

Particulars of Team Members:

1. SPEAKER 1

Name : _____________________________

Gender: ____________ Year: _______

Email: _____________________________ Affix passport size

photo
Contact: __________________
 2. SPEAKER 2

Name : _____________________________

Gender: ____________ Year: _______

Affix passport size
Email: _____________________________ photo

Contact: __________________

3. RESEARCHER
Name : _____________________________

Gender: ____________ Year: _______

Affix passport size
Email: _____________________________ photo

Contact: __________________

Person for communication

Name: ______________________________________________________

Email: _______________________________________________________

Contact No.: __________________________________________________

Details of Registration Fees:

Demand Draft No.: ______________________ Draft Dated: ___________

Name of the Bank: ____________________________________________

Branch: _____________________________________________________

Demand Draft should be drawn in favour of The Registrar, Tamil Nadu National
Law School payable at Tiruchirappalli. Please mention name of the participants
and the Institution on the backside of the original DD. The Registration form along
with DD must be sent to the following address:

Tamil Nadu National Law School,

Dindigul Main Road, Navalurkuttappattu,
Tiruchirappalli, Tamil Nadu-620009
 DECLARATION

We, hereby affirm that all the information provided in the registration form is
true. Further, we declare that the institution and its team members will abide by
all the rules and regulations as notified throughout the period of competition.

_____________ ______________ _____________

(Signature Speaker 1) (Signature Speaker 2) (Signature Researcher)

_____________ _________________________________________
(Faculty In Charge) (Head of the Institution with Seal)