International Yoga Conference

Name

Date Of Birth

(dd/mm/yyyy) : 18 years & above.

Gender

Male

Female

Address

Country

Mobile Number

Email

Designation

Name of Institution

Addess of Institution

Are presenting paper?

Yes

No

Name of paper

Accommodation

A/C Room accommodation on sharing basis : Rs. 5,000/-
Non A/C Room accommodation on sharing basis : Rs. 3,000/-
Dormitory Accommodation : Rs. 1,500/-

UTR / Cheque No.

Date Of Transaction

(dd/mm/yyyy)

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