3rd INTERNATIONAL CONFERENCE ON ENVIRONMENT AND HEALTH 2003

 

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 Registration Form

Please fill in the form below and submit to register.

After submitting the form, a page containing the information you have submitted will be generated. Please print the page out, and mail it along with your registration fee. Print a copy for your own records.

Please send the printed form along with your registration fee to:

Dr. V. Madha Suresh
Organizing Secretary (India), 3rd International
Conference on Environment and Health
Department of Geography, University of Madras
Chennai, 600 005, INDIA

Registration fees should be in the form of a World Wide Money Order or Demand Draft payable to “International Conference on Environment and Health”.

Name:
Designation :
Address:
E-mail:
Fax:
I wish to register for the 3rd Int'l Conference on Environment and Health as (check one):

I wish to register for the Post-Conference workshop on GIS and IT tools as (check one OR leave blank):
Total Registration Fee:

Rs. / US$
Bank:
Demand Draft/Money Order No. & date
   



 

©2003