JusticeDipakMisraNationalMootCourtCompetition1(10)of2020

GEETAINSTITUTEOFLAW,PANIPATJustice Dipak Misra National Moot Court Competition 1(10) of 2020

29th Feb. and 1st March 2020 (Saturday-Sunday)

REGISTRATIONFORM(To be �illed in block letters)

I.PARTICIPATINGUNIVERSITY/COLLEGEDETAILS

II.TEAMDETAILS

a)DetailsofSpeaker1

ContactPerson(Amemberoftheteamtowhomallcommunicationrelatedtothecompetitionshallbemade)

Name of University/College _______________________________________________________________________________________

Address:______________________________________________________________________________________________________

________________________________________________________________________________________________________________________

Name of Dean/HOD_________________________________ Telephone No: _____________________________

EMAIL: _________________________________________________________ Website:____________________________________________

Name: _________________________________________________________ Phone_________________________________________

Email Address________________________________________________________________________________________________________

INSTRUCTIONS:All participating teams are requested to �ill in the details in capital letters and a scanned copy

of the �illed form should be mailed to moot2020@geeta.edu.in to expedite allotment of the team code. Please

read the Rules and Regulations of the competition before submitting this registration form.

Name: ___________________________________________________________________________________

Fathers's Name _________________________________________________________________________

Gender: _________________________________________________________________________________

Course: _________________________________Year/Semester:_______________________________

Mobile No:___________________Email:______________________________________________________ Sign___________________

PHOTO

Name: ___________________________________________________________________________________

Fathers's Name _________________________________________________________________________

Gender: _________________________________________________________________________________

Course: _________________________________Year/Semester:______________________________

Mobile No:___________________Email:______________________________________________________ Sign___________________

PHOTO

b)DetailsofSpeaker2

Name: ___________________________________________________________________________________

Fathers's Name _________________________________________________________________________

Gender: _________________________________________________________________________________

Course: _________________________________Year/Semester:_______________________________

Mobile No:___________________Email:______________________________________________________ Sign___________________

PHOTO

c)DetailsofResearcher

III.PAYMENTDETAILS/BANKTRANSFER:

Name of the Bank: ____________________________________________________________________________________________

Demand Draft No: _____________________________________________________________________________________________

Drawn On Bank: ______________________________________________________________________________________________

Favouring: _____________________________________________________________________________________________________

RTGS/NEFT Details (if applicable): _________________________________________________________________________

Amount: _______________________________________________________________________________________________________

Date: ___________________________________________________________________________________________________________

JusticeDipakMisraNationalMootCourtCompetition1(10)of2020

TRAVELPLAN

Name of the participating Institution: _____________________________________________________________________

DetailsofTeamMembers:

(a) Name: ____________________________________________________________ Contact No ______________________________

(b) Name: ___________________________________________________________ Contact No ________________________

(c) Name: ____________________________________________________________ Contact No _____________________________

ArrivalDetails:

Mode of Travel: Airways/Railways/Roadways: __________________________________________________________________

Train Name: _______________________________________________________________________________________________________

Flight Name: ________________________________________________________________________________________________________

Bus/Travels Name: ________________________________________________________________________________________________

Arrival Date: __________________________________________ Arrival Time: ______________________________________________

DepartureDetails:

Mode of Travel: Airways/Railways/Roadways :________________________________________________________________

Train Name: _______________________________________________________________________________________________________

Flight Name: ________________________________________________________________________________________________________

Bus/Travels Name: ________________________________________________________________________________________________

Arrival Date: __________________________________________ Arrival Time: ______________________________________________

Seal and Signature of Dean/HOD

GEETAINSTITUTEOFLAW,PANIPATJustice Dipak Misra National Moot Court Competition 1(10) of 2020

29th Feb. and 1st March 2020 (Saturday-Sunday)

JusticeDipakMisraNationalMootCourtCompetition1(10)of2020

Note:

a) The registration fee shall be Rs. 5000/-. The Participation Teams are required to submit registration

fee through a Demand Draft in favour of “GeetaInstituteofLaw” payable at Panipat or through

NEFT/ RTGS/IMPS.

b) Please mention the name, father’s name and the name of the institution on the reverse side of the

original demand draft.

c) The demand draft is to be send alongwith the registration form, to the following address:-

Dean, Geeta Institute of Law,

Karhans, G.T. Road, Samalkha,

Panipat-132101. Haryana

DECLARATIONBYTHETEAMMEMBERS

FOROFFICEUSEOFGEETAINSTITUTEOFLAWONLY

We hereby certify that the information given by us is true and complete in all material respect.

We also undertake to abide by the Rules and Regulations of the Moot Court competition.

---------------------------- --------------------------------- ----------------------------------

Signature of Speaker 1 Signature of Speaker 2 Signature of Researcher

Date: __________________________

Seal and Signature of Dean/HOD

DD. / RTGS / NEFT / IMPS with Number ___________________of Bank_____________________Dated____________

Received on:_________________________Team Code Assigned:_______________________________ ___________________

Deposited in Bank on____________________________________________________

Receiver Accountant

JusticeDipakMisraNationalMootCourtCompetition1(10)of2020