To register for the RASI-2004 International Rock art Congress please copy, complete and post the form below. The form can also be downloaded from the Congress web-site http://mc2.vicnet.net.au/home/ifrao/web/agra.html and www.travelogindia.com. Completed registration forms can be sent by e-mail on the address rasicongress2004@rediffmail.com or girirajrasi@yahoo.com or by post to The President, Rock Art Society of India, Faculty of Arts, Dayalbagh Educational Institute, Dayalbagh, Agra-282 005. India
Registration Form – RASI-2004 International Rock Art Congress, Agra, India
Surname………………………………………...First name(s)………………………………………………..Title……......................... … Sex…………………… Age………………. Address…………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………….... ………………Post Code………………..Country……………….. E-mail:………………………………………………. Telephone with code No.…………………………………………… . Fax with code No………………………………………………………………………………………………………………… Passport No…………………………………………Issuing Place and Country………………………………………………………………
A. Congress
I can converse in English Yes and or in the languages……………………………………………………………………… I am particularly interested in Symposia/Workshop A B C D E F G H I J K L M N O P Q R S T U (Please take care in answering this question as your response will be considered in planning the simultaneous academic sessions). Title of the Paper/s……………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………I intended to be presented in Symposium/Workshop …………………….. Abstract/write up (for workshop) of the paper enclosed ……Will be sent shortly (but before 10 August, 2004)….. I will need power point and LCD projector ……………..I will bring my Lap Top for presentation I’ll like to present slide show……. Film show (only by LCD projector) on ………………………………………………………… I’ll like to present exhibits on……………………………………………..Number…………………space required……………………… Early registration fee for IFRAO Affiliated Member - US$300.00, Non Member -US$500.00 has been paid(details enclosed) Early registration fee will be paid before 10 August 2004. Full registration fee (US$ 400.00 and US$ 600 respectively) will be paid at later date. Registration fee is fully refundable minus t10% handling charges + Bank Commission if any up to 15 October 2004. Signature……………………………………………………….Date………………………………………..Place……………………….
B. Hotel Booking RASI-2004 International Rock Art Congress, 28 November to 02,December, 2004 Please indicate the hotel of your choice A. Hotel Jaypee Palace …, B. Hotel Clarks Shiraz … , C. Hotel Didar-E- Taj ……, D. Hotel Kant …..., E. Hotel Amar……
Date of arrival …………………………………………. Date of departure (from Agra)………………………………………………. No. of accompanying persons if any…………………. Choice of accommodation 1. In single occupancy room, …………. or 2. In twin sharing room……………….. Please indicate your choice of accommodation by marking and include a deposit of one (1) night of the rate of your choice . Accommodation bookings can not be guaranteed unless a deposit has been received no later than 10 August, 2004.
C. Transport
Transport from Indira Gandhi International Air Port to the Hotel at Agra and in Agra during the Congress days
I am staying at Hotel Jaypee ……… At other hotel…………… Please include transport fee US$ 18.00 or US$ 40.00 respectively.
D. RASI Field Trips I am interested in the post Congress RASI field trip/s A B C D Please add the required amount and send along with the registration fees on or prior to the stipulated date 10 August 2004.
Total of A………,B………..,C……….and D……….. US$............................. For payment of the registration fees and advance for hotel accommodation, travel and RASI Field Trips:
“Please include instructions to remit funds to the Account No. 0011407376 of UTI Bank Ltd with JP MORGAN CHASE BANK, NEW YORK – Swift Address: CHAS US 33 NYK for further credit to the account of ROCK ART SOCIETY OF INDIA, Account No. 086010100070902 with Agra Branch UTI Bank Swift Address: UTIB INBBA 002”. Amount Remitted : US$……………………………… Date of Remittance: …………………………………… Bank : …………………………………….
Signature……………………………………………………….Date………………………………………..Place……………………….
……………………………………………………………………………………………………………………… For office use only Received on Registered at no. Signature……………………………………Name………………………………Date…………………………