NATIONAL CONFERENCE ON CYBER LAW & ADMINISTRATION OF CRIMINAL JUSTICE

SYSTEM

REGISTRATION FORM
(Fill in Capital Letter)

Name of the Participant(s)/Author(s) Ms/Mr/Dr/Prof: _____________________________________

_________________________________________________________________________________________

Title of the Paper: ____________________________________________________________________

__________________________________________________________________________________________

Postal Address: _________________________________________________________________________

_________________________________________________________________________________________

Name of the Institution: _____________________________________________________________

________________________________________________________________________________________

Professional Position/ Student: ______________________________________________________

Email:_____________________________________Mobile:___________________________________

Payment Details

Amount (in words):

________________________________________________________________________ remitted an

Amount of INR __________________ dated _______________________through (Bank Name)

__________________________& transaction ID ____________________________

towards the Registration Fee. Participants are requested to send the scanned
copy of the registration form along with the snapshot of the transfer details to
mcasol2017@shooliniuniversity.com

Signature:

Date: