Tel.: 01426-283621/ 01426-283835

Amity Moot Court Competition– 2014 Amity University Rajasthan, Jaipur Email: [email protected] http://alfamity.wordpress.com/ Serial No.:____________ (For Office Use Only)

REGISTRATION FORM

Name and Address of the College/Institution: ___________________________________________ _____________________________________________ _____________________________________________ _____________________________________________

Contact No.: ____________________________

Fax No.: ______________________________

Email: _________________________________

Details of Participants: Participants Speaker 1 Speaker 2 Researcher

Name

Gender

Mobile No.

Traveling Details: Date

Mode

Time

Arrival Departure

Registration Fee Details:

Bank Name:____________________________________

DD/Cheque No.:______________

DD/Cheque Date: ___________

Date:______________

Signature and Seal of Head of Institution

Note: 1. Last date for Registration form submission is 22nd March, 2014 along with DD/Cheque of INR 500/-. 2. Last date for memorials submission is 28th March, 2014 (Only Soft Copy). 3. All Participants are required to carry their college identity card. 4. Cheque/DD shall be drawn in favor of Amity University Rajasthan Payable at Jaipur.