7th INTERNATIONAL CONFERENCE ON PEACE
 

7th INTERNATIONAL CONFERENCE ON PEACE AND NON-VIOLENT ACTION (7th ICPNA)
Invitation ICPNA Part -1 ICPNA Part-2 General Information Registration Form Contact

:: REGISTRATION FORM ::
FIRST PART – International Dialogue on Exploring a New Model of Nonviolent Lifestyle for Universal Peace and Sustainability
(10th Nov. to 12th Nov., 2008)

SECOND PART – Second International Nonviolence Leadership Training Camp
(13th Nov. to 14th Nov., 2008)

Venue:
ANUVIBHA Jaipur Kendra,
Opp. Gaurav Tower, Malviya Nagar, Jaipur – 302 017 (Rajasthan) INDIA
 
1   Full Name of  the Participant :
Family Name First Name   Middle Name
2. Title :
3. Age (Years) :
4 Sex  :
5 Nationality  :
6. Passport No.(If a foreigner): :
7

 

 Postal Address: :
8. Country :
9. Postal Code: :
10. Res. Phone:     :
11. Office Phone :
12. Fax :
13. .Email: :
14. Institution/Affiliation :
       
15 Registration Fees
Date Fee for Overseas Candidates Fee for Indian candidates Select
Before 15th November

US $ 100

 Indian Rs. 1000

After 15th November

US $ 150

 Indian Rs. 1500

16. Accommodation :
 
a) Do you want to stay in the rooms at the venue?   Yes   No
b) Do you want to stay in a hotel at Jaipur away from the venue?   Yes   No
If yes, please state your preference: Simple Guest House or a Star Hotel (If you decide to stay in a hotel), you will have to pay for it separately. We will, of course, negotiate with hotels for special concessional offers.
17.   If yes, tick the dates:
 
November, 2008 9th 10th 11th 12th 13th
19.
Date and Time of

Arrival:

 
 

Departure: :

 
       
20. Additional information about you:     
          

   
 

Home  : About Anuvibha : Events : Anuvrat Sabscribe  : Feedback : Contact us : Email
 

Website Design &  Promoted by Efforts Unlimited