Registration Form

International BHU Alumni Meet 2020

Seminar on Higher Education
17-18 January 2020
Name
Date of Birth Male Female
Affiliation with BHU
Degree Year of Award Department/Faculty
Graduation
Post Graduation
Affix Photograph
PhD Here
Any Other
Present Occupation (please give full details)

Mailing Address

Mobile No. Tel. No.

Fax E-mail
Details of accompanying persons (in any)
Name
Age Male Female
(Accompanying persons have to be registered separately)
Accommodation required Yes No
If yes, for persons (please specify number)
Please note that only limited accommodation is available in the University Campus. Delegates are requested
kindly to book hotel accommodation on their own, if desired.*
Details of Registration Fee:
Delegates from India (@Rs.1500/- per person)
Overseas Delegates (@ $ 250/- per person)
Cheque/Draft No. Dated
Name and address of the issuing Bank
Online Transfer Details

(Registration Fee and all donations should be sent in favour of the Registrar, BHU for Alumni Cell)
Date Signature

*Charges as per actual rate should be paid by the delegates in addition

to the Registration Fee
Please send the completed form with DD/Crossed Cheque/Online
transfer details payable to the Registrar, Banaras Hindu University,
Varanasi 221 005, India.
(For online transfer details are: State Bank of India, BHU Branch,
Account No. 31465075636, IFS Code: SBIN0000211, Swift Code:
SBININBB501 Bank Code: 0211, Beneficiary Name: Alumni Cell, BHU.)
Contact : + 91-9415205010, Email: alumni@bhu.ac.in
Website : www.bhu.ac.in/alumni