Registration Form Plants: Their Chemical and Biological Applications for Today and Tomorrow 12-14th April, 2017 Title: Prof. Dr. Mr. Ms. Name:___________________________________________________ Affiliation:________________________________________________ Mailing Address:___________________________________________ ________________________________________________________ ________________________________________________________ City:____________________________________________________ Phone:_______________________Fax:________________________ E-mail:__________________________________________________ Signature: ___________________ Date:________________________ Registration Fee: Payable to Account No: 0165-90007, UOG Miscellaneous Account Bank of Punjab, University of Gujrat Branch, Gujrat Pakistan Students 1500/Faculty Members/Scientist/Researchers 2000/Foreign participants 250$ Registration fee is non-refundable For further details: Dr. Shamim Akhtar Secretary [email protected]
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