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&) AMITY UNIVERSITY GURGAON FACULTY DEVELOPMENT PROGRAMME LEVERAGING RESEARCH TOOLS FOR QUALITY RESEARCH Sth-7th February, 2016 REGISTRATION FORM Name {in Block letters) 1 Designation & Affiliation Name (in Block letters) 2 Designation & Affliation ‘Address for Correspondence: Mobile No: Fax No: Email Details of Payment: Demand Draft No. Amount Dated * The DD should be drawn in favour of “Amity University Haryana” payable at New Delhi. * Fees may also be deposited online. Note: Registration Form can be photocopied for the use of other willing participants. The filled in Registration Form and the Demand Draft can be sent to: Prof. (Dr.) Hemant Sharma Head FDP Amity Business School Amity University Haryana, Amity Education Valley Panchgaon, (Manesar), Gurgaon-122413 Cell: 08755833728 Tel: 91-2337015/2767849 (Extn. 2402) Email: hsharma@ggn.amity.edu Signature of the Participant

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