:: International Cuisine Conference, Goa

Conference Registration Form

International Cuisine Conference
Panaji, Goa, India

2-5 September 2007

(Inauguration on 2 Sep 2007 at 4.30 pm)

Special Offer for scholars attending from Goa
A special conference fee is
Rs 900 for residents of Goa.

Name:

Title:


Surname	First Name	Middle Name

Country Represented:

City:

Organization:

Contact Details:

Work Phone:		Home Phone:
Fax:		Mobile:
E-mail:
Homepage:	http://

Referred by:

Accompanying
Person(s) Name(s):

Passport Details
(for foreign delegates):

Passport Number:		Date of Birth:
Place of Issue:		Date of Issue:
Nationality:		Valid till:
Gender:

Registration Fee (Please tick one):

Registration Category:			Amount Payable
A.	Participants from Non-SAARC Countries
	A.1	Industry and Private Sectors	USD	550
	A.2	Government/Academics	USD	400
	A.3	Students	USD	150

B.	Participants from SAARC Countries (including resident Indians)
	B.1	Industry and Private Sectors	INR	7500
	B.2	Government/Academics	INR	5000
	B.3	Students	INR	3000

C.	Goan Residents
	C.1	Residents	INR	900

PAYMENT DETAILS

Mode of Payment (Please select as applicable):

Bank Draft	Cheque*	Electronic Bank Transfer
*Acceptable only from India. For outstation cheques, except Panaji, Goa, (anywhere from India) please add Rs.50/- as a standard bank clearing charges
Participants shall courier a Demand Draft payable in ‘PANAJI, GOA, INDIA’ in favour of “NATIONAL INDOLOGY CONFERENCE, GOA”.

1. Bank Draft		2. Bank Cheque (within India only)
Amount:		Amount:
Drawn on Bank:		Drawn on Bank:
Draft No.:		Draft No.:
Dated:		Dated:
3. Electronic Bank Transfer Please remit the amount by Wire-Transfer/Swift Transfer through RTGS facility available with your bank (in India and outside India) to our bank- IFS CODE- CORP0000473 A/C in our account SB /01/003461/ in favour of "National Indology Conference, Goa" in Corporation Bank, Tonca Branch ( P.Code: 005730), Panaji (City), Goa, India. After the remittance, an email to this effect may be sent to indologygoa@. . . . to confirm the remittance.

Note:
· Paper presenters will be given a 15% discount off the applicable Registration fee.

· Group registration of five (5) individuals or more from the same institution will receive a 10% discount off the applicable registration fees

· Conference Registration Fees includes a Program Booklet, a CD for Abstracts and conference materials, light breakfast, morning and afternoon coffee break and working lunch. Registration fees are in INR/US dollars only. The conference is non-resident.

· Written requests for refunds received before August 1, 2007 for hotel reservation and registration, will be honored less bank processing and 15% administration fees. No refund will be given after this date.

· All Correspondence may be directed to Conference registered office:
Dr. Anjali Mohan Rao, Chairperson, Indology Goa,
Girivar, Opp. Dhempe College of Arts and Science,
Miramar Beach, Post – Caranzalem, City- Panaji, Goa- 403002
Phone: 09422057786 / 09422062910

CONFIRMATION OF RESERVATION
Confirmation of your accommodation will contain details of your hotel booking and will be sent to you after receipt of your full payment to Holiday Pack – Travel & Living Pvt Ltd. of the total accommodation cost. Changes and cancellations of reservations should be sent to Holiday Pack – Travel & Living Pvt Ltd., in written only.

CANCELLATION POLICY
Total refund of all prepaid fees will be made, excluding an administration charge of 15% of the total amount, provided that advanced written notification is submitted by 18 August 2007.
After 18 August until 25 August, a one night cancellation fee will apply.
No refunds will be made for cancellations after 25 August 2007.