International Geological Correlation Programme (IGCP) Project no. 396 Continental shelves in the Quaternary'
3rd Annual Conference

26-30 October 1998 Goa, India

REGISTRATION FORM

IGCP Project no. 396 'Continental shelves in the Quaternary' 3rd Annual Conference, October 26-30, 1998, Goa, India

Please complete and return with payment to arrive in Goa by July 31, 1998

Title Prof [ ] Dr [ ] Mr [ ] Mrs [ ] Ms [ ]
Name and initials ________________________________________

Address___________________________________________________________________________

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Fax ____________________________ E-mail _____________________________

I wish to attend the archaeological excursion

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I have enclosed a paper for an oral session*

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If yes, the title is

___________________________________________________________________________

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I have enclosed a paper for a poster session

Yes [ ] No [ ]

If yes, the provisional title is

____________________________________________________________________________

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If you are an overseas participant, please give details of your passport (this >is required by the Government of India for participating in an official >meeting)

Passport no. ___________________________

Issuing authority ___________________________

Place of issue ___________________________

Date of expiry ___________________________

Date of birth ___________________________

My accommodation requirements are (please tick and/or complete)-

Hotel Cida de Goa [ ] Hotel Prainha [ ] International Centre [ ]

I am making my own accommodation arrangements Yes [ ] No [ ]

I will be accompanied by my spouse: Yes [ ] No [ ]

I would like to share a room Yes [ ] No [ ]

if Yes with ___________________________________

[ ] I have enclosed a bankdraft for the sum of US$ _____________

[ ] I have enclosed a demand draft (for Indian delegates) for the sum of Rs. ____________

__________________________________________________________________________


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Updated last on 20th April '98.