THE AMERICAN COLLEGE, MADURAITHE AMERICAN COLLEGE, MADURAITHE AMERICAN COLLEGE, MADURAITHE AMERICAN COLLEGE, MADURAI
National Conference on
“Impacts of Pollution on Health and Restoration of Quality
Environment Through Biotechnology Applications” (EBAC-2018)
2 & 3 FEBRUARY 2018
REGISTRATION FORM
Name (in Block letters):
Sex : Male/Female
Designation : Student/Research scholar/Faculty/Scientist
Institution/College :
Address for Communication :
Contact Numbe :
E-Mail ID :
Presentation : Yes No
Title of the Paper :
Amount (Rs) : 500 / 700 / 1000
Details of Registration Fee : DD No. & Date:
Name of the Bank:
Signature of HOD Signature of the Participant
Note:
� The photocopy of this form can also be used /a soft copy can be downloaded from the
college website
� A soft copy of the abstract should be sent to [email protected] along with the
DD.
� DD to be taken in favour of “BURSAR, The American College”, payable at Madurai.
� Send the Registration form along with the DD to
Dr. A. Joseph Thatheyus,
Assistant Professor (Organising Secretary-EBAC- 2018)
PG and Research Department of Zoology
Department of Immunology and Microbiology.
The American College, Madurai-625002.
Mobile No: 094874 24820, 09894905798.