REGISTRATION FORM

NATIONAL CONFERENCE
Constitutionalism in India: Evolution, Progress and Contemporary Challenges
23-24 March 2017, ANSAL UNIVERSITY
(23-24 March 2017)
Full Name: ____________________________________________________________
Date of Birth: _________________________Sex: _____________________________
Category: Student, Faculty, Research Scholar, Professionals, Others
_______________
Designation: ___________________________________________________________
University/Organization: _________________________________________________
Preferred Mailing Address: ________________________________________________
City: _______________________________State/Province: _____________________
Zip/Postal Code: _____________________ Country: __________________________
Telephone: __________________________Mobile: ____________________________
Email: ________________________________________________________________
Title of the Paper: _______________________________________________________
Chosen Sub theme: _____________________________________________________

CONFERENCE FEES
Registration Fees Includes lunch, tea and proceedings:
PLEASE CHECK APPROPRIATE REGISTRAION FEE: BEFORE/ON MARCH 12, 2017
Student INR 1500
Faculty and Professionals INR 2500
On the spot Registration INR 3000

If you opt for on the spot registration, check Do not pay a registration fee. Still complete this
registration form

Cancellations/Changes and Refunds Once the registration is complete, fees are

non-refundable; whatsoever may be the reason for non-participation

PAYMENT METHOD-
Please check appropriate box: Demand Draft NEFT ________________________________
Demand Draft No/Transaction Detail:__________________________ Dated:________________
Bank Branch and City: _______________________
Please mail completed registration form with payment details to:
sol@ansaluniversity.edu.in

Date:
Signature of the
Delegate/Participant
 Seal of the
Organisation/Institution

RTGS/NEFT Payment Details:

Account Name Ansal University

Address Near Sun City, Golf Course Road,
Sector-55, Gurgaon, Haryana-122002
Bank Name Axis Bank Ltd
Savings 916010056453972
Account No
IFSC code UTIB0000131
Ground Floor, G-L 5,6,7,8 Cross Point
Branch Address DLF City Phase IV. Gurgaon-122009,
Haryana
Swift Code AXISINBB131

Participants making payments through RTGS/NEFT should send a soft copy of all
documents on the email - sol@ansaluniversity.edu.in

Demand Draft: Crossed D/D to be drawn in favor of Ansal University payable at

Gurgaon
Candidates paying through Demand Draft should post the hard copy of the Registration
form along with demand draft to
School of Law,
Ansal University
Near Sun City, Golf Course Road, Sector-55,
Gurgaon, Haryana-122002
The Registration Forms sent via post should mention on the envelope - National
Conference Registration Form

On the Spot Registration: The participants opting for on the spot registration should
send a soft copy of their full paper along with registration form by March 15, 2017. Their
participation will be confirmed only after receiving the registration fees on the day of
the Conference. In case they do not fulfill the requirement their form will be rejected.

Check List:
1. Scanned copy of the Registration Form
2. Transaction Details for RTGS/NEFT or Demand Draft
3. Full Paper
4. One ID proof on the day of presentation
* Late submission of full paper and fees may cancel your chance of paper presentation.