MergedFile - Department of Higher Education Madhya...

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Registration Form

One day National Workshop on Research Methodology

13 January, 2018

Organised By

Maa Narmada Mahavidhyalaya, Dhamnod, District Dhar, M. P.

(Affiliated to Devi Ahilya University, Indore)

In Technical Collaboration with

Department of Post Graduate Studies and Research in Sociology and

Social Work, Government College, Anjad, District Barwani, M. P.

(Re-assessed and Reaccredited by NAAC with Grade B)

Name - …………………………………………………………………………

Date of Birth - …………………………………………………………………………

Designation - …………………………………………………………………………

Institution - ………………………………………………………………………….

Mobile Number - …………………………………………………………………………

E mail Id - …………………………………………………………………………

Title of the full paper sent for review - ………………………………………………………..

Registration Fee - Rs. 150-

Mode of Payment - Cash at the registration counter / Online/ NEFT/RTGS Transfer

Transaction Number - Date of Payment -

Signature