Registration Form 28th ANEMECON 2020 Title* ---Mr.Mrs.Ms.Dr. Full Name* Date of Birth Your Email* NMC Registration No. NMA Membership No. Address of Communication Organization/Institution Types Of Delegates* ---NMA MembersNon NMA MembersDelegates from IndiaSAARC MembersOther Country Nationality* Telephone(Home) Telephone(Office) Mobile Fax Already Submitted Abstract? YesNo Abstract Number Number of Accompanying Person ---12345 Acccompany Details (Full Name/Age/Gender) Are you participating in Conference workshop ?* YesNo Method of payment* CashBank Draft Bank Draft Number* Please make bank draft payable to: Bank Name: MACHHAPUCHHRE BANK LTD. POKHARA, NEPAL.Account Name: ANEMECON28 Account Number: 1101524878167011 Swift Code: MBLNNPKA Please write your name on reverse of draft and enclose it with the registration form. Bank Date* Upload Voucher* Scan your payment voucher to upload Registration forms without Payment/Transaction Advice will not be accepted. Pre-registered Delegates : All pre-registered participants are requested to carry a print – out of their registration confirmation to the conference venue For Bank Transfer:Please add the Bank Transfer Charges to the amount ( Registration Charge )you have to pay during Bank Transfer, if any deficit in payment received , you have to pay at Conference Venue. Please enclose a copy of the payment/transaction advice obtained from your bank with the registration form. This is necessary to identify and confirm your payment..