Maharshi Dayanand College of Arts, Sc. & Commerce

Registration Form

25,S.S.Rao Road Parel, Mumbai-12

----------Re-accredited by NAAC------

ICSSR Sponsored One Week Workshop on

“Research Methods in Social Science from Research Proposal to Thesis writing”

8^th September 2017 to 14^th September 2017

REGISTRATION FORM

(Registration form should reach on or before 3^rd September 2017)

FirstName:__________________Surname____________________Middle Name___________________

Gender: Male/ Female Date of birth:

Whether Student /Teacher: ___________________________Whether pursuing Ph.D. (Yes/No)

If yes, specify subject and area of Ph.D. research: ___________________________________________

Department: _________________________________________________

Name and address of College: ___________________________________________________________

_____________________________________________________________________________________

City: _______________ Pin Code: ________________

Mobile No.: ______________________Email: ______________________________

Registration Fee Rs. ____________________

DD No.: ______________ Bank name: _______________________________

NEFT Details: _________________________________

Note: Register on or before 03^rd September 2017

(DD payable at Mumbai in the name of “Principal, M. D. College”.

Online payments can be made in the SB account no 192100100004265, IFSC Code SRCB0000192, Bank name Saraswat Co-Op Bank, Branch Parel(W),M.D.College, Branch Code no.192, MICR no. 400088079 in the name of M.D.Sr.College-Non Salary A/C. Please mail the Scanned Copy of registration Form and Online Payment Slip to workshop@mdcollege.in immediately after the payment)

Signature of the Signature of the

Participant Principal

Date & Place _________ College Seal

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