Corrected Samaroh 2012 22 Dec2011

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    A Two Day International seminaron

    Emerging Economies: BRIC and ASEAN Marketsas the New Growth Engines

    February 11 th and 12 th , 2012

    SIVA SIVANI INSTITUTE OF MANAGEMENT

    NH-7, Kompally, Secunderabad 500014, AP, India.Ph:040-27165450,51,53,54/ 040-65457236/37,Fax:040-27165452. www.ssim.ac.in

    BOOK-POSTREGISTRATION FORM

    A Two Day International seminaron

    Emerging Economies: BRIC and ASEAN Markets asThe New Growth Engines

    February 11 th and 12 th , 2012

    Name _________________________________________________________________(As you want it to appear on your certificate of participation)

    University / Institute __________________________________________________Designation _________________________________________________________

    Area of Specialization _______________________________________________

    Contact Address: Official ___________________________________________

    ______________________________________________________________________________________

    ______________________________________________________________________________________

    City _______________________State _______________Pin Code ____________

    Email ________________________________________________________________

    Phone _______________________________________________________________

    Mode of Payment: Demand Drafts to be drawn in favor of: SivaSivani institute of Management, Hyderabad

    DD No. __________________Dated ____________________Bank ____________________________Branch _____________________Amount (in Words) _______

    __________________________________________________Amount (in Figures)

    ___________________

    Signature

    (Use multiple copies of this form for each participant in caseof Group registration)