PRANVEER SINGH INSTITUTE OF TECHNOLOGY MODEL UNITED NATION CONFERENCE’ 2018 FEB 3– 4, 2018
INDIVIDUAL DELEGATE REGISTRATION FORM DELEGATE NAME ___________________________________________________________________________ DELEGATE’S SCHOOL/COLLEGE NAME & ADDRESS _________________________________________________ (AS APPLICABLE)
__________________________________________________________________________________________ DELEGATE CONTACT NO.:_____________________________________________________________________ DELEGATE E-MAIL ID.:________________________________________________________________________ (IF ANY)
DELEGATE COURSE/STANDARD.:________________________________________________________________
S.NO.
DELEGATE NAME
GENDER (M/F)
COUNCIL PREFERENCE (PLEASE LIST THE COUNCIL IN ORDER OF PREFERENCE)
COUNTRY PREFERENCE (PLEASE LIST THE COUNTRY IN ORDER OF PREFERENCE):
1st
1st
2nd
3rd
2nd
3rd
1
Yes 1.
No
ACCOMODATION REQUIRED(PLEASE TICK √ YOUR PREFERENCE)
PREVIOUS MUN EXPERIENCE (IF ANY) _____________________________________________________________________________________________ PAYMENT DETAILS MODE OF PAYMENT
BY CASH
ONLINE
PAY TM
PAYMENT REFERENCE NO./ TRANSACTION ID *( REQD. IN CASE OF ONLINE/PAYTM)
DATE TOTAL AMOUNT
___________________________________________ DELEGATE’S SIGNATURE *Kindly refer to our website www.psitmunc.in for council/country preference.
REGISTRATION DETAILS The fee for Delegate registration is Rs. 1000/- per delegate. The accommodation charges are Rs. 1000/- per delegate. ➢ This means without accommodation, a delegate will need to pay: Rs. 1000/- and with accommodation, a delegate will need to pay: Rs. 2000/For Delegate Registration: 1.Any delegate registering before 22 Jan’2018 may avail the offer of 10% discount on both individual “delegate registration fee” and “accommodation fees”. “OR” 2. All PSIT students can avail discount of 10% on the individual “delegate registration fee”. Note: From the above options only one offer can be availed. E.g. (without accommodation): For single delegate participation, the registration fees will amount to Rs.1000/- After availing discount, the registration fees will amount to Rs. 900/The total amount a delegate needs to pay is Rs. 900/E.g. (with accommodation): Similarly, for a delegate willing to register and applying for accommodation, the registration fees will amount to Rs. 2000/- However, after availing discount, the total fees will amount to Rs. 1800/The total amount a delegate needs to pay is Rs.1800/Last Date for Registration: 2nd February (Register now before seats get filled!)
What I need to do? 1. Make Payment To make online transfers (Internet Banking/Debit card/Credit Card), account details are as follows:
Beneficiary Name: PSITMUN Beneficiary Account number: 37329052680 IFSC Code: SBIN0016993 To make Paytm transfers, please refer to our website: www.psitmunc.in Once payment has been made, the countries for the respective councils will be allotted . 1. Send Email: After filling the details in the form, kindly email the scanned copy of the form to
[email protected]
For further details, please enquire below: Mr. Durgesh Agnihotri Chef De Cabinet PSITMUNC'18 Mo: 8004836836
