INTERNATIONAL SYMPOSIUM ON SOLAR-TERRESTRIAL PHYSICS

		 Indian Institute of Science Education and Research, Pune
			           November 6-9, 2012

			         Pre-registration form

                 Please fill and send to isstp2012@iiserpune.ac.in




Name : 

Postal Address :

e-mail address :

Phone number including international country code :

Number of accompanying persons, if any :

How would you like to contribute to the meeting: 

(a) Oral talk 
(b) Poster presentation 
(c) None

What kind of accommodation would you prefer: 

(a) Guest house accommodation (approx Rs 500/USD 10 per day) 
(b) 3 star hotel accommodation (approx USD 80 per day) 
(c) 5 star hotel accommodation (approx USD 160 per day) 


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