Docstoc

Gujarat Studies Association

Document Sample
Gujarat Studies Association Powered By Docstoc
					                         Gujarat Studies Association
                                     in association with CETL
                                  3rd Biennial Conference
         Cosmopolitan Connections: Encountering Gujaratis in Multiple Contexts
                   9th – 10th April 2010 • SOAS, University of London

                                Conference Registration Form

1.Contact Details
Title:               Select One      Email:                                                   M:           F:

First Name:                                    Last Name:

Address for
correspondence:                                                                   Post Code:

Institutional                                                                     Telephone:
Affiliation:

Department:                                          Position:

Status: Select One
If you DO NOT wish your name, email, affiliation to appear in the members list, please tick this box



2. Registration Contribution (includes tea, lunch and one year membership • Jan to Dec 2010)
                                                  Early Bird Registration
                                                 (Before 18 January 2010)           After 18 January 2010
                                                 Normal      Concessionary         Normal      Concessionary
                                                  Rate          Rate*               Rate          Rate*

Full conference                                  £50              £40               £65                £55

Day rate - April 9        April 10               £40              £35               £55                £45

Conference Dinner (April 9)                      £30              £30               £30                £30

Please feel free to make an additional
donation to the GSA.                             £                £                £                   £

                                   TOTAL         £                £                £                   £

I have been awarded a GSA Conference Bursary



Please indicate your justgiving.com Donation Reference number (this will be provided
to you once you have made your contribution):



*Please note the concessionary rate is ONLY available to students, retired and unwaged delegates.




Charity No: 1116830                         www.gujaratstudies.org                                           1 of 5
3. Other Details

Dietary Requirements:



Current Study/Research Interests              1.
(please indicate 3 areas):
                                              2.

                                              3.

4. Payment
Registration contributions can be made at: www.justgiving.com/gujaratstudies/donate

         Send completed Registration Forms to: s.mawani@gujaratstudies.org

           Registration contributions will not be refunded after 8 March 2010
                        A 40% administration fee will be deducted from all refunds.

 On receipt of your booking form and payment you will receive a letter to confirm your registration.

Mon 30 Nov 2009            Conference Registration Opens
Mon 18 Jan 2010            Presenter Registration & Early Bird Registration Closes
Mon 1 Mar 2010             Conference Registration Closes


5. Current Research
Please list below any relevant research projects that you are currently undertaking. Please note these details
may be posted on the Gujarat Studies Association website.

Project Title              Institution                  Synopsis (please limit      Keywords
                                                        to 20 words)




                                                   Please continue on a separate sheet, if necessary.




Charity No: 1116830                       www.gujaratstudies.org                                        2 of 5
6. Publications
Please list below any relevant publications which you would like to make available to the public through
the Gujarat Studies Association website. Please use the following format and list the most recent
publications first:

Last Name, First Inital. (Date) “Title of Article/Chapter”, in Editor (ed) Title of Journal/Book, Place of
Publication: Publisher.

If you would like the public to be able to access your publications directly from the GSA website, please
email the chapter/article (as a Word or PDF file) with this form.




                                                            Please continue on a separate sheet, if necessary.




Charity No: 1116830                        www.gujaratstudies.org                                        3 of 5
7. Copyright and Intellectual Property Declaration
Please complete the Copyright and Intellectual Property Declaration Form below.



                      Gujarat Studies Association

             COPYRIGHT/INTELLECTUAL PROPERTY DECLARATION


Name of Charity:            Gujarat Studies Association (“the Charity”)

Details of Author:

Title:

First Name:

Last Name:

Address for                                                                         Post Code:
correspondence:


I give the Charity permission to make available, on the website, www.gujaratstudies.org,
or print, all articles, book chapters, book reviews, etc. I provide, until I notify the Charity
                                     in writing otherwise.



                Signature:                                                         Date:

 Typing in your name above will constitute a signature, if submitting the form by email. By signing this
 declaration you are accepting that you hold any intellectual property rights for any publications (articles,
               book chapters, book reviews, etc.) that you are authorising the Charity to use.



                            Notes to Copyright/Intellectual Property Declaration


1.   Please ensure you hold all intellectual property rights, such as the copyright for all articles, book
     chapters, book reviews, etc. (this list is not exhaustive), which are provided to the Charity.

        Please notify the charity if you change your name and address while the declaration is still in force.

2.   If you are unsure whether you hold intellectual property rights, such as the copyright for articles, book
     chapters, book reviews, etc. (this list is not exhaustive), which you wish to provide to the Charity, you
     can ask the relevant publisher.

Charity No: 1116830                         www.gujaratstudies.org                                           4 of 5
3.   You can cancel this declaration at any time by notifying the Charity in writing – it will then not apply to
     any articles, book chapters, book reviews, etc. (this list is not exhaustive) which you provide to the
     Charity on or after the date of cancellation or such later date as you specify.




Charity No: 1116830                          www.gujaratstudies.org                                          5 of 5

				
DOCUMENT INFO