Information Sheet (ICoVP-2009)
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1. Name of participant:

2. Accompanying person(s) (if any):





3. Affiliation/Address:

4. Contact number(s):

5. Author/co-author of a paper: Yes/No

6. Date and Time of arrival:

7. Date and Time of departure:

8. Food preference: Vegetarian/Non-vegetarian

9. Registration fee details:

	Applicable amount:

	Draft Number (with date):

	Wire transfer details (with date):