&) 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